Jeffrey Lee Mich, D.P.M. Valid NPI

Individual provider · Podiatrist · Coon Rapids, MN

NPI

1912908435

Type

Individual (Type 1)

Primary specialty

Podiatrist

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213E00000X

License number

620 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-09

Last updated

2018-03-17