| Doctor Name: | DR. RALPH PATRICK MIECH |
| NPI Number: | 1912237686 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MDO4155 |
| Business Practice Address: | 50 Woodcrest Dr Riverside, RI - 029151819 |
| Business Phone Number: | 4014330431 |
| Business Fax Number: | 4018631595 |
| Mailing Address: | 50 Woodcrest Dr, RIVERSIDE |
| State: | RI |
| Postal Code: | 029151819 |
| Phone Number: | 4014330431 |
| Fax Number: | 4018631595 |
| NPI Enumeration Date: | 01/02/2010 |
| NPI Last Update Date: | 01/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MDO4155 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |