Mika, David Edwin

Mika, David Edwin is an individual health care provider with primary practice located at 10415 Grand River Rd Ste 100, Brighton MI 48116-6533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mika, David Edwin can be contacted via phone (810) 227-1020.

Contact Information

Primary practice address
10415 Grand River Rd Ste 100 Brighton MI 48116-6533
Fax: (810) 227-4930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DM007282 Michigan

Profile Details

NPI number 1285659623
LBN Legal business name Mika, David Edwin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285659623 NPPES
Michigan MEDICAID 1321520

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