Mielke, Brendan A

Mielke, Brendan A is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 375 , Coeur D Alene ID 83814-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mielke, Brendan A can be contacted via phone (208) 625-6100.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 375 Coeur D Alene ID 83814-4401
Phone: (208) 625-6100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M-8328 Idaho
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD00040221 Washington

Profile Details

NPI number 1265425532
LBN Legal business name Mielke, Brendan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265425532 NPPES
Washington MEDICAID 8281941

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