Individual
MS. ELIZABETH MAE MIKULEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
29829 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48034-1330
(248) 355-3033
(248) 355-4936
Mailing address
2900 YOSEMITE DR, LAKE ORION, MI 48360-1033
(248) 393-4569
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00698356
MI
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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