MARK J MICCICHE

SCRANTON, PA
NPI1336195031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: PA  SC-003638-L)
Enumeration Date2006-05-25
Last Update Date2020-08-21
Business Address
MARK J MICCICHE DPM
1800 MULBERRY ST
SCRANTON, PA 18510-2369
Phone number: 570-703-8146
Mailing Address
MARK J MICCICHE DPM
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144
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