Individual provider · Type 1 NPI

Greg M. Mielke, MD

Specialist · Goshen, IN

NPI number 1366484099 Active

Practice location

1111 Lighthouse Ln
Goshen, IN 46526-3824

Fax (574) 533-0277

Mailing address

3926 New Vision Dr
Fort Wayne, IN 46845-1712

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X01034860A (IN)

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.

7 other providers at this address

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About NPI 1366484099

Greg M. Mielke, MD's National Provider Identifier is 1366484099, issued on Jun 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Goshen, IN. The record was last updated on Oct 5, 2016.