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Dr. James David Mikolajczak, DO
Adult Medicine Physician in Vandenberg Afb, California
NPI 1013279587

James David Mikolajczak is an Adult Medicine Physician based in Moody Afb, CA and is specialized in Adult Medicine. James David Mikolajczak practices in Vandenberg Afb, CA and has the professional credentials of DO. The NPI Number for James David Mikolajczak is 1013279587 and holds a License No. 2793 (California).

The current practice location address for James David Mikolajczak is 338 S Dakota Ave, Vandenberg Afb, CA and can be reached out via phone at 058-605-3573.

Location: 338 S Dakota Ave, Vandenberg Afb, CA, 31699-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013279587
Provider Name
James David Mikolajczak
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
338 S Dakota Ave, Vandenberg Afb, CA, 31699-1500
Phone Number
058-605-3573
Fax Number
Provider Enumeration Date
06/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
338 S Dakota Ave
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
058-605-3573
Fax Number
person
Provider Business Mailing Address Details
Address
338 S Dakota Ave
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
058-605-3573
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
2793 (West Virginia)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2793 (West Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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