Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTHONY CHRISTOPHER MIELCAREK, PTA
Active Sole ProprietorGeneral Acute Care Hospital · RACINE, WI
Registration Details
- NPI Number
- 1386774784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.126945784427 yrs)
- Last Updated
- Jul 8, 2007
- License
-
636-019 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 SOUTH STRACINE, WI, 534023846Browse WI providers · Browse ZIP 53402
- Phone
- 2626336069
- Fax
- 2626563315
- Primary Specialty
-
General Acute Care Hospital
282N00000X
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.