Individual
DR. MARK ALEXANDER MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5630 3RD ST, FERNDALE, WA 98248
(360) 380-4848
(360) 384-7416
Mailing address
5630 3RD ST, P.O. BOX 2098, FERNDALE, WA 98248
(360) 380-4848
(360) 384-7416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003092
WA
Other
Enumeration date
02/06/2007
Last updated
11/26/2007
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