Most Relevant Information
Provider Data
| NPI Number: | 1003451337 |
| Provider Name: | JONATHON D MIELKE |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/11/2019 |
| Last Updated: | 11/11/2019 |
Provider Practice Location
3151 COUNTY ROAD 2425
STRYKER
OH
435579418
Practice Location Phone/Fax
| Phone: | 4194283800 |
| Fax: |
Provider Mailing Location
885 COMMERCE DR
PERRYSBURG
OH
435515267
Provider Mailing Phone/Fax
| Phone: | 4193305070 |
| Fax: |