Individual
DOMANTAS MIKONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2675 N MAYFAIR RD STE 400, MILWAUKEE, WI 53226-1305
(414) 763-6910
(414) 763-6911
Mailing address
2675 N MAYFAIR RD STE 400, MILWAUKEE, WI 53226-1305
(414) 763-6910
(414) 763-6911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
72934-21
WI
Other
Enumeration date
04/14/2016
Last updated
11/03/2022
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