Individual
MIKAL L PILLATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631
(970) 810-3894
(970) 810-3897
Mailing address
1801 16TH ST, GREELEY, CO 80631
(970) 810-3894
(970) 810-3897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0993966
CO
Other
Enumeration date
07/11/2018
Last updated
02/10/2025
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