Provider Demographics
NPI:1881924934
Name:MIKULIS, MARGRIT C (ND)
Entity type:Individual
Prefix:DR
First Name:MARGRIT
Middle Name:C
Last Name:MIKULIS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 NASHUA ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3717
Mailing Address - Country:US
Mailing Address - Phone:603-594-0002
Mailing Address - Fax:603-594-0006
Practice Address - Street 1:147 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301
Practice Address - Country:US
Practice Address - Phone:802-490-2077
Practice Address - Fax:802-490-2149
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X
NH64175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath