Individual
KATHERINE MIKULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3250 W BIG BEAVER RD STE 127, TROY, MI 48084-2902
(248) 906-8475
Mailing address
3250 W BIG BEAVER RD STE 127, TROY, MI 48084-2902
(248) 906-8475
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
4704278422
MI
163WM1400X
Nurse Massage Therapist (NMT)
7501010297
MI
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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