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Individual

DAVID EDWIN MIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10415 GRAND RIVER RD, STE 100, BRIGHTON, MI 48116-6533
(810) 227-1020
(810) 227-4930
Mailing address
10415 GRAND RIVER RD, STE 100, BRIGHTON, MI 48116-6533
(810) 227-1020
(810) 227-4930

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DM007282
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1321520
MI
Enumeration date
07/13/2006
Last updated
07/08/2007
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