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Individual

DR. KATHARINE H MIKULEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
121 SAINT LUKES CENTER DR, SUITE 504, CHESTERFIELD, MO 63017-3509
(314) 205-6633
(314) 523-2798
Mailing address
121 SAINT LUKES CENTER DR, SUITE 504, CHESTERFIELD, MO 63017-3509
(314) 205-6633
(314) 523-2798

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2004019693
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306088182
RR MEDICARE
MO
01
1336254887
RR MEDICARE
MO
01
841682728
TAX ID
01
DP1487
RR MEDICARE
MO
01
P00733645
RR MEDICARE
MO
Enumeration date
08/21/2006
Last updated
11/02/2009
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