Gerald Mickler
Sports Medicine
9500 E 16th St
Indianapolis
, Indiana 46229-2008
Gerald Mickler
Sports Medicine
9500 E 16th St
Indianapolis
, Indiana 46229-2008
(317) 385-1345
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Gerald Mickler
- 9988 Expedition Pl
- Noblesville, IN
- Zip : 46060-4509
- Phone : (317) 385-1345
Second Address
- Gerald Mickler
- 9500 E 16th St
- Indianapolis, IN
- Zip : 46229-2008
- Phone : (317) 532-6200
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081S0010X | Sports Medicine | 0849 | AZ |
| N | 213ES0000X | Sports Medicine | 0849 | AZ |
National Provider Identifier
| NPI | 1417279969 |
|---|---|
| Provider Name | Gerald Mickler |
| First Address | Noblesville, IN 46060-4509 |
| Second Address | Indianapolis, IN 46229-2008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2010 |
| Last Update Date | 10/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.