Individual
DR. DAVID H. MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 AURORA AVE, METAIRIE, LA 70005-2601
(504) 427-5467
Mailing address
1440 CANAL ST, ROOM 1000, NEW ORLEANS, LA 70112-2703
(504) 988-5246
(504) 988-4270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010238
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142093
—
LA
Enumeration date
03/08/2007
Last updated
07/08/2007
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