Individual
MATTHEW MIKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
289 FAIRGROUNDS RD, PRINCETON, WV 24739-9079
(304) 252-3394
Mailing address
289 FAIRGROUNDS RD, PRINCETON, WV 24739-9079
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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