Individual
MS. SANDRA L MIKOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-7820
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
781-033
WI
363L00000X
Nurse Practitioner
Primary
83636-030
WI
Other
Enumeration date
08/23/2006
Last updated
11/23/2021
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