| Doctor Name: | GREGORY C MIECKOWSKI |
| NPI Number: | 1528018751 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD026705E |
| Business Practice Address: | 809 Turnpike Ave Imaging Department Clearfield, PA - 168301232 |
| Business Phone Number: | 8147657314 |
| Business Fax Number: | 8143396165 |
| Mailing Address: | Po Box 129, CLEARFIELD |
| State: | PA |
| Postal Code: | 168300129 |
| Phone Number: | 8147657314 |
| Fax Number: | 8143396165 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD026705E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |