Individual
DR. THOMAS JAMES MIKULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 JEFFERSON AVE SE, C/O ELOISE MIKA, GREMG, GRAND RAPIDS, MI 49503-4502
(616) 685-6781
(616) 685-3064
Mailing address
600 BROADWAY AVE NW, APT. 620A, GRAND RAPIDS, MI 49504-7305
(517) 648-0856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018330
MI
Other
Enumeration date
08/21/2009
Last updated
12/23/2014
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