Individual
DR. MARLA C MIKELAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3325
(734) 712-5525
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5315024123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019083610001
—
PA
Enumeration date
10/13/2005
Last updated
12/30/2016
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