Individual
DR. JUSTIN PAUL MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 N RIVER RD NE, SUITE 1, WARREN, OH 44483-2437
(330) 372-2333
(330) 373-1111
Mailing address
1615 N RIVER RD NE, SUITE 1, WARREN, OH 44483-2437
(330) 372-2333
(330) 373-1111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.084818
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2580434
—
OH
Enumeration date
02/09/2006
Last updated
04/01/2020
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