Organization
ASSOCIATES IN GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L MLECKO M.D. (PRESIDENT)
(724) 933-1420
Entity
Organization
Contact information
Practice address
5500 BROOKTREE RD, SUITE 201, WEXFORD, PA 15090-9260
(724) 933-1420
(724) 933-1939
Mailing address
5500 BROOKTREE RD, SUITE 201, WEXFORD, PA 15090-9260
(724) 933-1420
(724) 933-1939
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009804590007
—
PA
Enumeration date
10/27/2005
Last updated
09/23/2016
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