Individual
MR. PETER CHRISTIAN MIKOLAJCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12266 DE PAUL DR STE 205, BRIDGETON, MO 63044-2514
(314) 218-2300
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2009015779
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2009015779
MO
Other
Enumeration date
08/19/2007
Last updated
10/23/2020
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