NPI | 1669637229 |
---|---|
Former Legal Business Name | MIKULA CHIROPRACTIC CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PATRICK MIKULA President 616-365-0255 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007183) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2008-07-24 |