Individual
JENNIFER MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7207 EASTMAN AVE, MIDLAND, MI 48642-7402
(989) 488-1866
(989) 488-1867
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005449
MI
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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