MICHAEL KEITH MIETZ

UTICA, NY
NPI1689944779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  015421)
Enumeration Date2012-01-05
Last Update Date2012-04-23
Business Address
MICHAEL KEITH MIETZ PA
120 HOBART ST
UTICA, NY 13501-4308
Phone number: 315-798-1149
Mailing Address
MICHAEL KEITH MIETZ PA
120 HOBART ST
UTICA, NY 13501-4308
Phone number: 315-798-1149