Organization
KAREN C. MIKUS, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN C. MIKUS PH.D. (PRESIDENT)
(734) 761-7247
Entity
Organization
Contact information
Practice address
1945 PAULINE BLVD, SUITE 21-B, ANN ARBOR, MI 48103-5047
(734) 761-7247
Mailing address
1945 PAULINE BLVD, SUITE 21-B, ANN ARBOR, MI 48103-5047
(734) 761-7247
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0-H1-1474-0
BLUE CROSS BLUE SHIELD PIN
MI
Enumeration date
06/15/2009
Last updated
06/15/2009
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