Individual
MALLORY MICKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 W SUDBURY DR, E2, BLOOMINGTON, IN 47403-3736
(219) 921-4028
Mailing address
2200 W SUDBURY DR, E2, BLOOMINGTON, IN 47403-3736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001700A
IN
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us