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Individual

BRENDAN A MIELKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 W IRONWOOD DR STE 375, COEUR D ALENE, ID 83814-4401
(208) 625-6100
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
M-8328
ID
207RN0300X
Nephrology Physician
Primary
MD00040221
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8281941
WA
Enumeration date
08/23/2005
Last updated
07/24/2025
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