NPI 1962690982
Gary Stephen Mihalko, IDC
Practice location
- Address
- 39 Lansdowne Rd Naval Branch Medical Clinic, Lakehurst, NJ 08733
- Phone
- (732) 323-7106
- Fax
- (732) 323-2247
- Mailing address
- 315 11th St, Windber, PA 15963-1558
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1962690982
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Oct 2007
- Record last updated
- 4 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.