Individual
DR. JAMES R MACIELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
11277 VERNON PLACE, SUITE 200, MEADVILLE, PA 16335-3717
(814) 724-1252
(814) 333-8871
Mailing address
11277 VERNON PLACE, SUITE 200, MEADVILLE, PA 16335-3717
(814) 724-1252
(814) 333-8871
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD027764E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010947090001
—
PA
Enumeration date
01/26/2006
Last updated
04/29/2016
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