Individual
FABIAN MATTHEW MIHELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAFP
Contact information
Practice address
1924 ALCOA HWY, GSM BUILDING 1ST FLOOR, KNOXVILLE, TN 37920-1511
(865) 305-9350
(865) 305-8681
Mailing address
1924 ALCOA HWY # U67, KNOXVILLE, TN 37920-1511
(865) 305-9352
(865) 305-8681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN34146
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3373352
MEDICARE GROUP
TN
05
—
3853156
—
TN
Enumeration date
04/27/2006
Last updated
11/28/2011
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