Provider Demographics
NPI:1376726810
Name:MIKLE, FLORENCE BURKHARDT (MD)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:BURKHARDT
Last Name:MIKLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 N MINGES RD
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-7909
Mailing Address - Country:US
Mailing Address - Phone:269-966-4024
Mailing Address - Fax:
Practice Address - Street 1:87 N MINGES RD
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-7909
Practice Address - Country:US
Practice Address - Phone:269-966-4024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301048945207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology