Organization
MIKULA CHIROPRACTIC, P.C.
Active
Other names
Mikula Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PATRICK MIKULA D.C. (PRESIDENT)
(616) 365-0255
Entity
Organization
Contact information
Practice address
4056 PLAINFIELD AVE NE, SUITE E, GRAND RAPIDS, MI 49525-1630
(616) 365-0255
(616) 365-0975
Mailing address
4056 PLAINFIELD AVE NE, SUITE 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
01
—
0D15065
BLUE CARE NETWORK
MI
01
—
0D17680
BLUE CARE NETWORK
MI
05
—
3269896
—
MI
05
—
4443376
—
MI
01
—
950D120100
BLUE CROSS/BLUE SHIELD
MI
01
—
950D120110
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
07/23/2008
Last updated
07/24/2008
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