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Sean Mickle, PA-C
Medical Physician Assistant in Sayre, Pennsylvania
NPI 1073861381

Sean Mickle is a Medical Physician Assistant based in Sayre, PA and is specialized in Medical. Sean Mickle practices in Sayre, PA and has the professional credentials of PA-C. The NPI Number for Sean Mickle is 1073861381 and holds a License No. MA055566 (Pennsylvania).

The current practice location address for Sean Mickle is 1 Guthrie Sq, Sayre, PA and can be reached out via phone at 570-888-5858.

Location: 1 Guthrie Sq, Sayre, PA, 18840-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073861381
Provider Name
Sean Mickle
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Guthrie Sq, Sayre, PA, 18840-1625
Phone Number
570-888-5858
Fax Number
Provider Enumeration Date
08/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA0055566 01 PA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1 Guthrie Sq
City
Sayre
State
Pennsylvania
Zip
18840-1625
Phone Number
570-888-5858
Fax Number
person
Provider Business Mailing Address Details
Address
1 Guthrie Sq
City
Sayre
State
Pennsylvania
Zip
18840-1625
Phone Number
570-888-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA055566 (Pennsylvania)
Definition
Definition to come...
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