Individual
ELIZABETH MARIE MIKULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
209 S STATE ST, ANN ARBOR, MI 48104-2005
(866) 389-2727
Mailing address
895 TROON, HIGHLAND, MI 48357-4768
(269) 420-1420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4702611268
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0872418
BCBS
MI
Enumeration date
10/16/2012
Last updated
01/23/2023
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