Individual
MR. CHARLES ANTHONY MIKULKA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 W 14TH ST FL 6, WILMINGTON, DE 19801-1013
(302) 428-2717
(302) 428-6686
Mailing address
501 W 14TH ST FL 6, WILMINGTON, DE 19801-1013
(302) 428-2717
(302) 428-6686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012228
DE
363A00000X
Physician Assistant
MA065066
PA
Other
Enumeration date
10/02/2023
Last updated
10/08/2025
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