Individual provider · Type 1 NPI

Jared Steven Micho, MD

Student in an Organized Health Care Education/Training Program · Vincennes, IN

NPI number 1205412954 Active

Practice location

520 S 7th St
Vincennes, IN 47591-1038

Mailing address

146 Callaway Cv
Loves Park, IL 61111-8933

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11021937A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205412954

Jared Steven Micho, MD's National Provider Identifier is 1205412954, issued on Mar 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vincennes, IN. The record was last updated on Jul 6, 2021.