Michael Brian Mikolaj, M.D.
Internal Medicine, Cardiovascular Disease in Chattanooga, TN. Individual provider (NPI-1).
NPI number1760616601
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1760616601
- Entity type
- Individual (NPI-1)
- Name
- Michael Brian Mikolaj
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2009
- Certification date
- Aug 13, 2020
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 54156 | TN | Yes |
| 207UN0901X | Nuclear Medicine, Nuclear Cardiology | 54156 | TN |
Practice location
2205 McCallie AveChattanooga, TN 37404-3230
Phone 423-508-6733 · Fax 423-508-6744
Mailing address
2205 McCallie AveChattanooga, TN 37404-3230
Phone 423-508-6733 · Fax 423-508-6744
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