Individual
LARRY S MIKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25420 US HIGHWAY 31, JEMISON, AL 35085-7868
(205) 668-1616
(205) 668-1038
Mailing address
25420 US HIGHWAY 31, JEMISON, AL 35085-7868
(205) 668-1616
(205) 668-1038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19384
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038926
—
AL
Enumeration date
08/16/2006
Last updated
12/22/2009
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