Search › Indiana › 207Q00000X
Louis Miceli, DO
NPI 1679578272 · on the registry since 2005
Practice
- Address
- 3125 Willowcreek Rd
Portage, IN 46368 - Phone
- (219) 762-3175
- Fax
- (219) 763-3092
- Organisation at this address
- Primary Care Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 63
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 208000000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-28
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 Indiana