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1831106749
GARY R MIKULA
GRAND RAPIDS, MI
NPI
1831106749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: MI 5101012631)
Enumeration Date
2006-08-02
Last Update Date
2011-09-13
Business Address
-- GARY R MIKULA DO
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
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Mailing Address
-- GARY R MIKULA DO
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-975-1845
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