Individual
DR. ERIK P MIKAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10206 CHERRYWOOD LN, MUNSTER, IN 46321-5126
(772) 256-9374
Mailing address
10206 CHERRYWOOD LN, MUNSTER, IN 46321-5126
(772) 256-9374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071032A
IN
207R00000X
Internal Medicine Physician
125057148
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01071032A
IN
208M00000X
Hospitalist Physician
Primary
01071032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000773147
ANTHEM
IN
05
—
201077670
—
IN
Enumeration date
06/26/2009
Last updated
06/24/2025
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