Diane Wilkins Mickley, MD Valid NPI

Individual provider · Internal Medicine Physician · Greenwich, CT

NPI

1164574778

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

16643 (CT)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-17

Last updated

2007-07-08