Individual
HEATHER MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18181 PEARL RD STE A104, STRONGSVILLE, OH 44136-6965
(440) 238-7676
(440) 816-5998
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 238-7676
(440) 816-5998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-009351
OH
207Q00000X
Family Medicine Physician
5101016706
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2007
Last updated
12/27/2020
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