Individual provider · Type 1 NPI
Clarence Harold Mielke, MD
Specialist · Liberty Lake, WA
NPI number
1306144613
Active
Practice location
25415 E Mission Ave
Liberty Lake, WA 99019-9586
Fax (509) 891-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | WAMD00025451 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Liberty Lake
About NPI 1306144613
Clarence Harold Mielke, MD's National Provider Identifier is 1306144613, issued on Mar 10, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Liberty Lake, WA. The record was last updated on Mar 10, 2011.