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Individual

ERIKA M MIKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 215-2005
(844) 807-3782
Mailing address
122 W 7TH AVE, SUITE 310, SPOKANE, WA 99204-2349
(509) 838-7711
(509) 747-4664

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-586
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807347700
ID
Enumeration date
05/20/2006
Last updated
08/25/2021
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