institution
Mark Miceli
Foot & Ankle Surgery Podiatrist in Charlotte, North Carolina
NPI 1275693509

Mark Miceli is a Foot & Ankle Surgery Podiatrist based in Charlotte, NC and is specialized in Foot & Ankle Surgery. Mark Miceli practices in Charlotte, NC. The NPI Number for Mark Miceli is 1275693509 and holds a License No. 302 (North Carolina).

The current practice location address for Mark Miceli is 8301 University Exec Park Dr Ste 112, Charlotte, NC and can be reached out via phone at 704-547-0000 and via fax at 704-547-0460.

Location: 8301 University Exec Park Dr Ste 112, Charlotte, NC, 28262-1366
institution
Provider Profile Details
NPI Number
1275693509
Provider Name
Mark Miceli
Credential
Provider Entity Type
Organization
Address
8301 University Exec Park Dr Ste 112, Charlotte, NC, 28262-1366
Phone Number
704-547-0000
Fax Number
704-547-0460
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8301 University Exec Park Dr Ste 112
City
State
Zip
28262-3593
Phone Number
704-547-0000
Fax Number
704-547-0460
person
Provider Business Mailing Address Details
Address
8301 University Exec Park Dr Ste 112
City
State
Zip
28262-3593
Phone Number
704-547-0000
Fax Number
704-547-0460
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
302 (North Carolina)
Definition
Definition to come...
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