Individual
JOHN R MIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1524 ATWOOD AVE, SUITE 102, JOHNSTON, RI 02919
(401) 751-4701
(401) 454-4451
Mailing address
1539 ATWOOD AVE, SUITE 102, JOHNSTON, RI 02919
(401) 751-4701
(401) 454-4451
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00242
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202117
BLUE CHIP
RI
01
—
70544
BLUE CROSS RI
RI
05
—
9007054
—
RI
Enumeration date
11/06/2006
Last updated
10/26/2011
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