Individual
STEFANIE A SEIXAS-MIKELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 TAYLOR ST STE 1A, COLUMBIA, SC 29201-2946
(803) 434-4790
(803) 434-4799
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
15266
NH
208800000X
Urology Physician
248455
MA
208800000X
Urology Physician
253676
NY
208800000X
Urology Physician
Primary
81915
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M1549
MEDICARE
MA
Enumeration date
07/10/2008
Last updated
02/02/2026
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