Individual
DR. STEPHEN L MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 871-4033
(228) 871-3344
Mailing address
319 S AMERICA ST, COVINGTON, LA 70433-3529
(985) 705-0349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.023781
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C1488526
—
LA
Enumeration date
05/16/2006
Last updated
06/04/2024
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