Individual
DR. JONATHAN DAVID MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15304 ELM CT, FARIBAULT, MN 55021-8545
(507) 384-2879
Mailing address
15304 ELM CT, FARIBAULT, MN 55021-8545
(507) 384-2879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8559
MN
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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