Individual
MICHAEL WILLIAM MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21264-0005
(410) 955-5080
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9790
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0099291
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2020
Last updated
04/22/2024
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