Individual
SUSAN MIKULEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LOMAS BLVD NE, UNM NEURO DIAGNOSTICS CLINIC, ALBUQUERQUE, NM 87106-2719
(505) 272-3160
(505) 272-6297
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601002247
MI
363A00000X
Physician Assistant
Primary
PA2011-0042
NM
Other
Enumeration date
05/19/2006
Last updated
03/22/2017
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