Individual
JILL MARIE MIKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 524-3311
(812) 524-3310
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 524-3311
(812) 524-3310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2008015977
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
02004241A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
125062400
IL
Other
Enumeration date
11/25/2008
Last updated
07/23/2014
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