Individual
STEPHANIE HASTY MIKULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
44555 WOODWARD AVE STE 302, PONTIAC, MI 48341-5035
(586) 745-9880
Mailing address
44555 WOODWARD AVE STE 302, PONTIAC, MI 48341-5035
(248) 858-3949
(248) 858-3929
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101021146
MI
Other
Enumeration date
06/26/2014
Last updated
08/08/2019
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