Elizabeth Mae Mikulec, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00698356 Issued in MI

Practice address

29829 Telegraph Rd
Suite 100
Southfield, MI 48034-1330

Phone

(248) 355-3033

Fax

(248) 355-4936

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1427229368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 YOSEMITE DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601033",
            "telephone_number": "248-393-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341330",
            "telephone_number": "248-355-3033",
            "fax_number": "248-355-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULEC",
        "first_name": "ELIZABETH",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "00698356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Kostakos, DDS, P.C. (Southfield Dentistry, P.C.)
• Mike Medical Supply Inc
• Mervat Mikhaeil
• Shravani Mikkilineni
• Sara Mikolajczak
• Allura Milan
• Korto Elaine Milas
• David C Milburn, PTA
• Stacy Milburn
• Saliah Miles, DDS

• Registered Dietitian in Southfield, MI
• Providers in Southfield, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.