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Charles Anthony Mikulka

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHARLES ANTHONY MIKULKA17408846832020-11-22
Entity TypeIndividual
Provider Name Charles Anthony Mikulka Jr.
Practice Office Address706 W MAIN ST
NEW HOLLAND, PA US
Practice Office Telephone7173544268
Practice Office Fax7173555196
Mailing Address706 W MAIN ST
NEW HOLLAND, PA 175579328 US
Business Telephone7173544268
Business Fax7173555196
HPT Codes
CodeLicense NoState
183500000X PRIMARYRP040215L PA
OPI Codes

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