Dr. Michael A Mikus
Family Doctor Family Doctor - Sports Medicine
4405 Vandever Ave
San Diego
, California 92120-3315
Dr. Michael A Mikus
Family Doctor Family Doctor - Sports Medicine
4405 Vandever Ave
San Diego
, California 92120-3315
(312) 286-4723
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael A Mikus
- 1455 Kettner Blvd #2502
- San Diego, CA
- Zip : 92101-2438
- Phone : (312) 286-4723
Second Address
- Dr. Michael A Mikus
- 4405 Vandever Ave
- San Diego, CA
- Zip : 92120-3315
- Phone : (800) 290-5000
Reviews
FAQs
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What type of doctor is Dr. Michael A Mikus
In what state does Dr. Michael A Mikus practice in?
Where is Dr. Michael A Mikus ’s practice located?
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Is Dr. Michael A Mikus a sole practitioner?
Is Dr. Michael A Mikus accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036107899 | IL |
| N | 207QS0010X | Family Doctor - Sports Medicine | A065118 | CA |
National Provider Identifier
| NPI | 1215906847 |
|---|---|
| Provider Name | Dr. Michael A Mikus |
| First Address | San Diego, CA 92101-2438 |
| Second Address | San Diego, CA 92120-3315 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2006 |
| Last Update Date | 29/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G98681 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.