Individual
MIEASHA HICKS BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1769 MELODY LN, GREENFIELD, IN 46140-1192
(317) 937-8503
Mailing address
1769 MELODY LN, GREENFIELD, IN 46140-1192
(317) 937-8503
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201299790
—
IN
Enumeration date
04/15/2012
Last updated
03/28/2022
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