Individual
DR. MATTHEW MIESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 11TH AVE S STE 410, BIRMINGHAM, AL 35205-3423
(205) 934-9700
Mailing address
504 WHITE STONE WAY, HOOVER, AL 35226-4216
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
42877
AL
Other
Enumeration date
04/02/2018
Last updated
06/29/2023
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