Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL KEITH MIETZ, PA
ActiveMICHAEL KEITH MIETZ, PA is a Medical Physician Assistant healthcare provider located in LAKEPORT, California. NPI 1689944779 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAKEPORT, CA
Registration Details
- NPI Number
- 1689944779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2012 (14.427218222048 yrs)
- Last Updated
- Oct 31, 2024
- Licenses
-
PA52485 (CA)015421 (NY)
Practice Information
- Address
-
925 BEVINS COURTLAKEPORT, CA, 954539754Browse CA providers · Browse ZIP 95453
- Phone
- 7072638383
- Fax
- 7072635019
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Other Medical Physician Assistant Providers in LAKEPORT, CA
| Name | Credential | NPI |
|---|---|---|
| MR. SHELDON KING SLOAN | PA-C | 1285607259 |
| KAREN J KENNEDY | PA | 1326118365 |
| MS. NICHOL ANN KRIZ | PA-C | 1033321963 |
| ERIN E THURMAN | PA | 1053503144 |
| MR. HENRY KNOOP IV | RPA-C | 1790912152 |
| MR. MARK BRIEN KANE | PA-C | 1740615558 |
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.