institution
Mikula Chiropractic Center
Chiropractor in Grand Rapids, Michigan
NPI 1770729097

Mikula Chiropractic Center is a Chiropractor based in Grand Rapids, MI. Mikula Chiropractic Center practices in Grand Rapids, MI. The NPI Number for Mikula Chiropractic Center is 1770729097 and holds a License No. 2301007183 (Michigan).

The current practice location address for Mikula Chiropractic Center is 4056 Plainfield Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-365-0255 and via fax at 616-365-0975.

Location: 4056 Plainfield Ave Ne, Grand Rapids, MI, 49525-1630
institution
Provider Profile Details
NPI Number
1770729097
Provider Name
Mikula Chiropractic Center
Credential
Provider Entity Type
Organization
Address
4056 Plainfield Ave Ne, Grand Rapids, MI, 49525-1630
Phone Number
616-365-0255
Fax Number
616-365-0975
Provider Enumeration Date
12/17/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
P61830001 01 MI MEDICARE PROVIDER ENROLLMENT PTAN
14443376 05 MI
950D120100 01 MI BLUE CROSS/BLUE SHIELD
OD15062753 01 MI BLUE CARE NETWORK
13269896 05 MI
950D120110 01 MI BLUE CROSS/BLUE SHIELD
0D15065 01 MI BLUE CARE NETWORK
0D115053 01 MI BLUE CARE NETWORK
P61830002 01 MI MEDICARE PROVIDER ENROLLMENT PTAN
0P61830 01 MI MEDICARE PROVIDER ENROLLMENT PTAN
institution
Provider Business Practice Location Address Details
Address
4056 Plainfield Ave Ne
City
State
Zip
49525-1630
Phone Number
616-365-0255
Fax Number
616-365-0975
person
Provider Business Mailing Address Details
Address
4056 Plainfield Ave Ne
City
State
Zip
49525-1630
Phone Number
616-365-0255
Fax Number
616-365-0975
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2301007183 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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