Organization
GREG MICK D.O., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DANIELS (MANAGER)
(859) 523-8996
Entity
Organization
Contact information
Practice address
2375 PROFESSIONAL HEIGHTS DR, SUITE 240, LEXINGTON, KY 40503-3040
(859) 523-8996
(859) 523-9370
Mailing address
2375 PROFESSIONAL HEIGHTS DR, SUITE 240, LEXINGTON, KY 40503-3040
(859) 523-8996
(859) 523-9370
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02503
KY
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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