MARK MICCICHE, DPM
Podiatrist
Active
Individual
NPI: 1336195031
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | SC-003638-L (PA) |
Frequently Asked Questions
NPI 1336195031 is the National Provider Identifier for MARK MICCICHE, DPM, a Podiatrist provider located in Scranton, PA. This NPI was enumerated on May 25, 2006.
MARK MICCICHE, DPM practices at 1800 MULBERRY ST, Scranton, PA 18510.
Quick Facts
- NPI
- 1336195031
- Type
- Individual
- Enumerated
- May 25, 2006
- Last Updated
- Aug 21, 2020
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