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1689944779
MICHAEL KEITH MIETZ
UTICA, NY
NPI
1689944779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015421)
Enumeration Date
2012-01-05
Last Update Date
2012-04-23
Business Address
MICHAEL KEITH MIETZ PA
120 HOBART ST
UTICA, NY 13501-4308
Phone number: 315-798-1149
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Mailing Address
MICHAEL KEITH MIETZ PA
120 HOBART ST
UTICA, NY 13501-4308
Phone number: 315-798-1149
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