Individual
PETER HERMANN MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1675 BEAM AVE, #202, MAPLEWOOD, MN 55109
(651) 779-9002
(651) 779-9802
Mailing address
1675 BEAM AVE, #202, MAPLEWOOD, MN 55109
(651) 779-9002
(651) 779-9802
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7329
MN
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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