Individual
DR. AMY MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, 503 N. 21ST STREET, CAMP HILL, PA 17011-2204
(717) 763-2100
Mailing address
1312 STRAFFORD RD, CAMP HILL, PA 17011-6206
(717) 557-9075
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006579
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006579
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103902234-0010
—
PA
Enumeration date
07/02/2014
Last updated
11/20/2024
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