Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK J MICCICHE, DPM
ActivePodiatrist · SCRANTON, PA
Registration Details
- NPI Number
- 1336195031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (19.908571813815 yrs)
- Last Updated
- Aug 21, 2020
- License
-
SC-003638-L (PA)
Practice Information
- Address
-
1800 MULBERRY STSCRANTON, PA, 185102369Browse PA providers · Browse ZIP 18510
- Phone
- 5707038146
- Fax
- 5707037205
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in SCRANTON, PA
| Name | Credential | NPI |
|---|---|---|
| BRIAN J KOBYLUS | DPM | 1922070960 |
| RICHARD T MEREDICK | DPM | 1558333591 |
| DAVID J FLANNERY | DPM | 1205808250 |
| LAURA VIRTUE-DELAYO | DPM | 1578525929 |
| DR. JENNIFER O'BRIEN DEMPSEY | DPM | 1427014521 |
| DR. VINCENT N GRATTOLINO | DPM | 1861422313 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.