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Michael Mietz, PA
NPI 1689944779 · on the registry since 2012
Practice
- Address
- 925 Bevins Court
Lakeport, CA 95453 - Phone
- (707) 263-8383
- Fax
- (707) 263-5019
- Clinicians at this address
- 6
Additional practice sites
- 14440 Olympic Drive, Clearlake, CA
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Physician Assistant
- Licence states on file
- CA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-31
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 California