Organization
ASSOCIATES IN GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L MLECKO M.D.. (PRESIDENT)
(724) 933-1420
Entity
Organization
Contact information
Practice address
575 LINCOLN AVE, LOWER LEVEL, BELLEVUE, PA 15202-3550
(724) 933-1420
(724) 933-1439
Mailing address
5500 BROOKTREE RD, SUITE 201, WEXFORD, PA 15090-9260
(724) 933-1420
(724) 933-1439
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009804590007
—
PA
Enumeration date
10/31/2005
Last updated
06/24/2008
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