Individual provider · Type 1 NPI

Madison Alice Mik, PA-C

Physician Assistant · St. Louis, MO

NPI number 1700547528 Active

Practice location

621 S New Ballas Rd Ste 189A
St. Louis, MO 63141-8255

Call (314) 251-6335 Map

Fax (314) 251-5864

Mailing address

PO Box 776084
Chicago, IL 60677-6084

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	2023040354 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700547528

Madison Alice Mik, PA-C's National Provider Identifier is 1700547528, issued on Jan 4, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 16, 2025.