Individual
MARIAM MIKELADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10081 WADSWORTH PKWY STE 200, WESTMINSTER, CO 80021-3827
(303) 431-5409
Mailing address
10081 WADSWORTH PKWY STE 200, WESTMINSTER, CO 80021-3827
(303) 431-5409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
06/17/2020
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