Individual
GERALD MICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
9500 E 16TH ST, INDIANAPOLIS, IN 46229-2008
(317) 532-6200
Mailing address
19173 ROUDEBUSH BLVD, NOBLESVILLE, IN 46060-7632
(317) 385-1345
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
0849
AZ
2255A2300X
Athletic Trainer
Primary
36001951A
IN
Other
Enumeration date
02/25/2010
Last updated
07/09/2024
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