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
Referral Form
You may refer patients to our office by filling out our online "Referral" form. After you have completed the form, please make sure to click the "Submit" button at the bottom of the form to automatically Email us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

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Download the "Referral" form