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Individual

THOMAS A MICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 NORTH 39TH STREET, 223 WEST, PHILADELPHIA, PA 19104-4206
(215) 662-8244
Mailing address
51 NORTH 39TH STREET, 223 WEST, PHILADELPHIA, PA 19104-4206
(215) 662-8244

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD040073E
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD040073E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011048790005
PA
Enumeration date
06/14/2006
Last updated
09/03/2015
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