Individual
DOUGLAS L MIKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009 N SAGINAW RD, MIDLAND, MI 48640-4555
(989) 633-1350
(989) 633-1355
Mailing address
4 COLUMBUS AVE, STE 140, BAY CITY, MI 48708-6469
(989) 377-4550
(989) 894-8544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301061523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4923479
—
MI
01
—
P00392238
MEDICARE RAILROAD CARRIER
MI
Enumeration date
05/17/2006
Last updated
05/21/2021
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