Individual provider · Type 1 NPI
Michael Keith Mietz, PA
Medical Physician Assistant · Lakeport, CA
NPI number
1689944779
Active
Practice location
925 Bevins Court
Lakeport, CA 95453-9754
Fax (707) 263-5019
Other practice locations
- 14440 Olympic Drive, Clearlake, CA 95422-8809 · (707) 263-8383
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA52485 (CA) |
| Physician Assistant | 363A00000X | 015421 (NY) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Eliezer Melendez, MDPediatrics Physician Lakeport, CA NPI 1518926393
- Jai Goo Lee, DDSDentist Lakeport, CA NPI 1164497319
- Lawerence G. Cannon, DDSGeneral Practice Dentistry Lakeport, CA NPI 1487753430
- Lorena A. Watson, FNPFamily Nurse Practitioner Lakeport, CA NPI 1942558721
- Terri L. Turner, DOInternal Medicine Physician Lakeport, CA NPI 1366522831
Other medical physician assistant providers in Lakeport
- Nichol Ann Kriz, PA-CMedical Physician Assistant Lakeport, CA NPI 1033321963
- Erin E. Thurman, PAMedical Physician Assistant Lakeport, CA NPI 1053503144
- Amanda L. Smithers, PA-CMedical Physician Assistant Lakeport, CA NPI 1184052003
- Sheldon King Sloan, PA-CMedical Physician Assistant Lakeport, CA NPI 1285607259
- Gregory Sean Hadfield, PA-CMedical Physician Assistant Lakeport, CA NPI 1285869966
- Karen J. Kennedy, PAMedical Physician Assistant Lakeport, CA NPI 1326118365
- Mark Brien Kane, PA-CMedical Physician Assistant Lakeport, CA NPI 1740615558
- Henry Knoop Iv, RPA-CMedical Physician Assistant Lakeport, CA NPI 1790912152
About NPI 1689944779
Michael Keith Mietz, PA's National Provider Identifier is 1689944779, issued on Jan 5, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakeport, CA. The record was last updated on Oct 31, 2024.