Individual
MARY JANE MIKULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 N 175TH ST, SUITE 1000, OMAHA, NE 68118-3582
(402) 955-5437
(402) 955-7310
Mailing address
8401 W DODGE RD, SUITE 280, OMAHA, NE 68114-3451
(402) 955-6877
(402) 955-6880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17882
NE
Other
Enumeration date
08/31/2006
Last updated
01/23/2013
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