MARK MICELI

CHARLOTTE, NC
NPI1275693509
Entity TypeOrganization
Authorized ContactMARK MICELI
Owner
704-547-0000
Organization Subpart ?No
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: NC  302)
Enumeration Date2006-12-08
Last Update Date2008-02-14
Business Address
MARK MICELI
8301 UNIVERSITY EXEC PARK DR STE 112
CHARLOTTE, NC 28262-3593
Phone number: 704-547-0000
Mailing Address
MARK MICELI
8301 UNIVERSITY EXEC PARK DR SUITE 112
CHARLOTTE, NC 28262-1366
Phone number: 704-547-0000
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