Individual
DR. COLLEEN ANN MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28800 RYAN RD, SUITE 320, WARREN, MI 48092-4272
(877) 906-9699
(800) 499-9260
Mailing address
1 WESTBROOK CORPORATE CTR, SUITE 300, WESTCHESTER, IL 60154-5701
(708) 375-3075
(800) 499-9260
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209002055
IL
Other
Enumeration date
03/16/2007
Last updated
01/28/2015
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