Individual
MARY ANN MIKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(751) 342-7501
(715) 342-7929
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 342-7501
(715) 342-7929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32678
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30063500
—
WI
Enumeration date
10/18/2006
Last updated
07/09/2007
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