Organization
FENIX HEALTH MI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MIKULA MD (MD)
(303) 250-2285
Entity
Organization
Contact information
Practice address
1428 44TH ST SW STE A, WYOMING, MI 49509-4312
(303) 250-2285
(888) 399-6476
Mailing address
1428 44TH ST SW STE A, WYOMING, MI 49509-4312
(303) 250-2285
(888) 399-6476
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
02/24/2022
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