Individual
MR. GARY STEPHEN MIHALKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
39 LANSDOWNE RD, NAVAL BRANCH MEDICAL CLINIC, LAKEHURST, NJ 08733
(732) 323-7106
(732) 323-2247
Mailing address
315 11TH ST, WINDBER, PA 15963-1558
(619) 917-9380
(723) 323-2247
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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