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Clarence Mielke, M.D
NPI 1306144613 · on the registry since 2011 · sole proprietor
Practice
- Address
- 25415 E Mission Ave
Liberty Lake, WA 99019 - Phone
- (509) 926-2600
- Fax
- (509) 891-2737
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-10
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 Washington