Mikelait, Marla C

Mikelait, Marla C is an individual health care provider with primary practice located at 5301 Mcauley Dr , Ypsilanti MI 48197-1051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mikelait, Marla C can be contacted via phone (734) 712-3325.

Contact Information

Primary practice address
5301 Mcauley Dr Ypsilanti MI 48197-1051
Phone: (734) 712-3325
Fax: (734) 712-5525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5315024123 Michigan

Profile Details

NPI number 1629066535
LBN Legal business name Mikelait, Marla C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629066535 NPPES
Pennsylvania MEDICAID 0019083610001

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