Individual
DR. JARED STEVEN MICHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-8520
Mailing address
146 CALLAWAY CV, LOVES PARK, IL 61111-8933
(815) 978-1487
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11021937A
IN
Other
Enumeration date
03/23/2021
Last updated
07/06/2021
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