Dr. Michael S Mikulecky, M.D.
Orthopaedic Surgery in Red Bluff, CA. Individual provider (NPI-1).
NPI number1245211507
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1245211507
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael S Mikulecky
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2005
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A90779 | CA | Yes |
Practice location
2528 Sister Mary Columba DrRed Bluff, CA 96080-4327
Phone 530-528-6100 · Fax 530-528-6196
Mailing address
3400 Data DrAttn Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
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