Provider Demographics
NPI:1639639339
Name:MUSE, MIKEL ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:MIKEL
Middle Name:ELIZABETH
Last Name:MUSE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1306 CONCOURSE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:21090-1033
Mailing Address - Country:US
Mailing Address - Phone:910-251-9944
Mailing Address - Fax:910-763-4666
Practice Address - Street 1:1099 MEDICAL CENTER DR UNIT 200300
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7346
Practice Address - Country:US
Practice Address - Phone:910-251-9944
Practice Address - Fax:910-763-4666
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2023-00033207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology