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Jackie Mielke

NPI 1770273567 · on the registry since 2023 · sole proprietor

Practice

Address
4166 17 Mile Rd Ne
Cedar Springs, MI 49319
Phone
(616) 696-9040
Clinicians at this address
9

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-15

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 Michigan