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Dr. Clarence Harold Mielke, MD
Specialist in Liberty Lake, Washington
NPI 1306144613

Clarence Harold Mielke is a Specialist based in Liberty Lake, WA. Clarence Harold Mielke practices in Liberty Lake, WA and has the professional credentials of MD. The NPI Number for Clarence Harold Mielke is 1306144613 and holds a License No. WAMD00025451 (Washington).

The current practice location address for Clarence Harold Mielke is 25415 E Mission Ave, Liberty Lake, WA and can be reached out via phone at 509-926-2600 and via fax at 509-891-2737.

Location: 25415 E Mission Ave, Liberty Lake, WA, 99019-9586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306144613
Provider Name
Clarence Harold Mielke
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
25415 E Mission Ave, Liberty Lake, WA, 99019-9586
Phone Number
509-926-2600
Fax Number
509-891-2737
Provider Enumeration Date
03/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25415 E Mission Ave
City
Liberty Lake
State
Washington
Zip
99019-9586
Phone Number
509-926-2600
Fax Number
509-891-2737
person
Provider Business Mailing Address Details
Address
25415 E Mission Ave
City
Liberty Lake
State
Washington
Zip
99019-9586
Phone Number
509-926-2600
Fax Number
509-891-2737
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
WAMD00025451 (Washington)
Definition
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.
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