IndividualActive
Anthony Mielcarek, PTA
NPI 1386774784 · General Acute Care Hospital · Racine, WI
Provider details
- NPI number
- 1386774784
- Entity type
- Individual
- Primary specialty
- General Acute Care HospitalHospitals
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 636-019 (WI)
Specialties & taxonomies
Hospitals
Practice location
801 South St
Racine, WI 53402-3846
Phone: (262) 633-6069
Fax: (262) 656-3315
Approximate (ZIP-level) locationGet directions
Mailing address
801 South St
Racine, WI 53402-3846
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.