Individual
DR. DIANE WILKINS MICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 RIVERSVILLE RD, GREENWICH, CT 06831-3627
(203) 531-1909
(203) 531-7449
Mailing address
7 RIVERSVILLE RD, GREENWICH, CT 06831-3627
(203) 531-1909
(203) 531-7449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16643
CT
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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