Individual
ANNA L MICKLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 110, ALLENTOWN, PA 18103-6224
(610) 435-1003
(610) 435-3184
Mailing address
1250 S CEDAR CREST BLVD, SUITE 110, ALLENTOWN, PA 18103-6224
(610) 435-1003
(610) 435-3184
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054122
PA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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