Individual
MR. TODD MICHAEL MIODEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6621
Mailing address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6621
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19707
CA
Other
Enumeration date
06/14/2010
Last updated
11/02/2012
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