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NPI Code Detail

MEDICARE: PAUL T MIKULECKY MD

MEDICARE:   PAUL T MIKULECKY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35985CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609862556
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL T MIKULECKY MD
Provider Business Mailing Address
First Line : 1531 MARKET ST
Second Line :
City : DENVER
State : CO
Zip : 80202-1607
Country : US
Telephone Number : 303-534-5536
Fax Number :
Provider Business Practice Location Address
First Line : 1531 MARKET ST
Second Line :
City : DENVER
State : CO
Zip : 80202-1607
Country : US
Telephone Number : 303-534-5536
Fax Number : 303-788-6115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 04/01/2022

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Directions to “ PAUL T MIKULECKY MD” Practice Location

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