Individual
DR. JEAN MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4056 PLAINFIELD AVE NE, STE. E, GRAND RAPIDS, MI 49525-1630
(616) 365-0255
(616) 365-0975
Mailing address
4029 PLAINFIELD AVE NE, # B, GRAND RAPIDS, MI 49525-1628
(616) 365-0255
(616) 365-0975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3269896
—
MI
Enumeration date
06/27/2006
Last updated
07/13/2022
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