Individual
DR. MIKALA RAE BRINKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7768
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-118496
IL
Other
Enumeration date
05/21/2007
Last updated
01/23/2024
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