Individual
PAUL T MIKULECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 MARKET ST, DENVER, CO 80202-1607
(303) 534-5536
(303) 788-6115
Mailing address
1531 MARKET ST, DENVER, CO 80202-1607
(303) 534-5536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35985
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359850
—
CO
Enumeration date
09/26/2005
Last updated
04/01/2022
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