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Mark J Micciche, DPM
Podiatrist in Scranton, Pennsylvania
NPI 1336195031

Mark J Micciche is a Podiatrist based in Danville, PA. Mark J Micciche practices in Scranton, PA and has the professional credentials of DPM. The NPI Number for Mark J Micciche is 1336195031 and holds a License No. SC-003638-L (Pennsylvania).

The current practice location address for Mark J Micciche is 1800 Mulberry St, Scranton, PA and can be reached out via phone at 570-703-8146 and via fax at 570-703-7205. You can also correspond with Mark J Micciche through the mailing address at 100 N ACADEMY AVE, DANVILLE, PA - 17822-4903 (mailing address contact number: 570-271-6144).

Location: 1800 Mulberry St, Scranton, PA, 17822-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336195031
Provider Name
Mark J Micciche
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1800 Mulberry St, Scranton, PA, 17822-4903
Phone Number
570-703-8146
Fax Number
570-703-7205
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0015256920005 05 PA
institution
Provider Business Practice Location Address Details
Address
1800 Mulberry St
City
Scranton
State
Pennsylvania
Zip
18510-2369
Phone Number
570-703-8146
Fax Number
570-703-7205
person
Provider Business Mailing Address Details
Address
1800 Mulberry St
City
Scranton
State
Pennsylvania
Zip
18510-2369
Phone Number
570-703-8146
Fax Number
570-703-7205
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
SC-003638-L (Pennsylvania)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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