Individual
DR. MARK ROBERT MIKOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16850 SE 272ND ST, COVINGTON, WA 98042-4931
(253) 395-2006
(253) 395-1977
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00002341
WA
Other
Enumeration date
01/13/2006
Last updated
09/25/2012
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