Individual
COURTNEY MIKULICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
14940 FLORENCE TRL, APPLE VALLEY, MN 55124-4628
(612) 355-3918
Mailing address
3385 ROY ORR BLVD, SUITE A, GRAND PRAIRIE, TX 75050-4208
(469) 586-0437
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2756
MN
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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