Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY A MIKULEC, MD
ActiveOtolaryngic Allergy · ST. LOUIS, MO
Registration Details
- NPI Number
- 1104843176
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2006 (19.808414241669 yrs)
- Last Updated
- Mar 12, 2021
- Licenses
-
2004011779 (MO)2004011779 (MO)
Practice Information
- Address
-
1225 S. GRANDDOOR 3ST. LOUIS, MO, 63104Browse MO providers · Browse ZIP 63104
- Phone
- 3149775110
- Fax
- 3149777686
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
- Additional Specialty
- Otolaryngic Allergy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.