Search › Wisconsin › 103G00000X
Jonathan Mietchen, T-LMLP
NPI 1073030961 · on the registry since 2017
Practice
- Address
- 600 Highland Ave
Madison, WI 53792 - Phone
- (608) 263-5430
- Organisation at this address
- Home Enteral Nutrition
University Of Wisconsin System Non Payroll
University Of Wisconsin Medical Foundation
University Of Wisconsin Hospital And Clinics
University Of Wisconsin Hospital And ClinicsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3,319
Additional practice sites
- 217 W Ira Ct, Andover, KS
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TC0700X
- Licence states on file
- KS, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin