Individual
MR. GERARD PAUL MIKLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-0444
(231) 834-0200
Mailing address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-0444
(231) 834-0200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001641
MI
Other
Enumeration date
11/19/2009
Last updated
12/09/2011
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