Organization
TEMPLETON GYNECOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANI A. MIKULICS M.D, (PRESIDENT)
(805) 434-9441
Entity
Organization
Contact information
Practice address
1050 LAS TABLAS RD, SUITE 2, TEMPLETON, CA 93465-9729
(805) 434-9441
(805) 434-9456
Mailing address
1050 LAS TABLAS RD, SUITE 2, TEMPLETON, CA 93465-9729
(805) 434-9441
(805) 434-9456
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A68329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ62670Z
BLUE SHIELD PIN
CA
Enumeration date
06/22/2007
Last updated
11/30/2007
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