Individual
TED R MIKULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4015
(402) 559-6788
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4015
(402) 559-6788
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20319
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557532
—
NE
Enumeration date
05/12/2006
Last updated
06/23/2011
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