Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PETER CHRISTIAN MIKOLAJCZAK, M.D.
Active Sole ProprietorMR. PETER CHRISTIAN MIKOLAJCZAK, M.D. is a Clinical Cardiac Electrophysiology healthcare provider located in BRIDGETON, Missouri. NPI 1790978252 is currently active in the NPPES registry. Verify at CMS.
Clinical Cardiac Electrophysiology · BRIDGETON, MO
Registration Details
- NPI Number
- 1790978252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2007 (19.023746094314 yrs)
- Last Updated
- Oct 23, 2020
- Licenses
-
2009015779 (MO)2009015779 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12266 DE PAUL DR STE 205BRIDGETON, MO, 630442514Browse MO providers · Browse ZIP 63044
- Phone
- 3142182300
- Primary Specialty
-
Clinical Cardiac Electrophysiology
207RC0001X
- Additional Specialty
- Clinical Cardiac Electrophysiology
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.