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Mark Miceli, DPM
Primary Podiatric Medicine Podiatrist in Gastonia, North Carolina
NPI 1881678118

Mark Miceli is a Primary Podiatric Medicine Podiatrist based in Concord, NC and is specialized in Primary Podiatric Medicine. Mark Miceli practices in Gastonia, NC and has the professional credentials of DPM. The NPI Number for Mark Miceli is 1881678118 and holds a License No. 302 (North Carolina).

The current practice location address for Mark Miceli is 603 Cox Rd, Gastonia, NC and can be reached out via phone at 704-867-7388. You can also correspond with Mark Miceli through the mailing address at 1022 LEE ANN DR NE, CONCORD, NC - 28025-2911 (mailing address contact number: 704-547-0000).

Location: 603 Cox Rd, Gastonia, NC, 28025-2911
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Provider Profile Details
NPI Number
1881678118
Provider Name
Mark Miceli
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
603 Cox Rd, Gastonia, NC, 28025-2911
Phone Number
704-867-7388
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
341408479 01 UHC
890183P 05 NC
0004118131 01 AETNA
0807M 01 BCBS
institution
Provider Business Practice Location Address Details
Address
603 Cox Rd
City
State
Zip
28054-3432
Phone Number
704-867-7388
Fax Number
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Provider Business Mailing Address Details
Address
1022 Lee Ann Dr Ne
City
State
Zip
28025-2911
Phone Number
704-547-0000
Fax Number
704-547-0460
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Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
302 (North Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
302 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
302 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
302 (North Carolina)
Definition
Definition to come...
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