Individual
ADAM C MIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1818 N MEADE ST, SUITE N347, APPLETON, WI 54911-3454
(920) 831-6135
(920) 225-1429
Mailing address
1818 N MEADE ST, SUITE N347, APPLETON, WI 54911-3454
(920) 831-6135
(920) 225-1429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1999
WI
Other
Enumeration date
07/25/2006
Last updated
11/07/2007
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