Individual
DR. BRIAN PATRICK MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
4056 PLAINFIELD AVE NE, STE. E, GRAND RAPIDS, MI 49525-1630
(616) 365-0255
(616) 365-0975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4443376
—
MI
Enumeration date
06/27/2006
Last updated
07/09/2007
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