Individual
MICHAEL JOHN SOBEL MISIECZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 DECATUR ST SE FL 11, ATLANTA, GA 30303-3204
(609) 402-8552
Mailing address
140 DECATUR ST SE FL 11, ATLANTA, GA 30303-3204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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