Dr. Susan L. Micklow & Dr. Branimir Lackovic
101 S Front St., Suite 505 - Marquette, MI 49855
Toll-Free: (866) 642-5569
Phone: (906) 225-4520
Fax: (906) 225-4522
HIPAA Privacy Act Form
Page coming soonThe "HIPPA Privacy Act" form presents the information that federal law requires us to give our patients regarding our privacy practices. Plese feel free to review this form and bring a signed copy at the time of your appointment.

Download the "HIPAA Privacy Act" form