Male or Other

Dr. John P. Miketa DPM

Podiatrist in Fuquay Varina, NC(View on Map)

Full Name

Dr. John P Miketa DPM

NPI Number

1013138528

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/01/2007

Specialties

(Taxonomies)

Code

213E00000X
213ES0103X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina

License Number

337

Contact
Information

Purpose

Mailing
Location

Address

122 NORTH MAIN ST
122 NORTH MAIN ST

City

Fuquay Varina
Fuquay Varina

State

NC
NC

Postal Code

27526-1933
27526-1933

Country

US
US

Telephone Number

(919) 557-5148
(919) 557-5148

Identifiers

Identifier

7908110

Identifier State

NC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/04/2008

Provider Address