Individual
DR. WILLIAM MICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
(417) 875-3383
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2006006314
MO
207R00000X
Internal Medicine Physician
2006006314
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148380008
MISSOURI MEDICARE
MO
05
—
206426207
—
MO
Enumeration date
01/30/2007
Last updated
12/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us