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Individual

EDWARD MIKULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
301 ST. PAUL PLACE, HEART CENTER AT MERCY, BALTIMORE, MD 21202
(410) 332-9752
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C05207
MD

Other

Enumeration date
09/30/2013
Last updated
09/30/2013
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