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Organization

JAMES D. MICKLE JR. MD

Active
Other names
Cholesterol Studies and Treatment
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES D MICKLE JR. MD (OWNER)
(610) 369-2050
Entity
Organization

Contact information

Practice address
137 MONTGOMERY AVE, SUITE 203, BOYERTOWN, PA 19512-1300
(610) 369-2050
(610) 369-2710
Mailing address
137 MONTGOMERY AVE, SUITE 203, BOYERTOWN, PA 19512-1300
(610) 369-2050
(610) 369-2710

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD016977E
PA

Other

Enumeration date
06/29/2007
Last updated
07/29/2010
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