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Walter Mickulick, M.A., MPA
NPI 1043578123 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5600 Brainerd Rd Ste B42
Chattanooga, TN 37411 - Phone
- (423) 605-1855
- Fax
- (423) 296-6515
- Organisation at this address
- Engstrom Services, Inc
Cherokee Health Systems
Cherokee Health Systems
S & L Healthcare Services
Chi National Home Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Registry record
- Primary taxonomy
- 103TF0200X
103TF0200X
- Also registered as
- 101YS0200X
103TC0700X
103TS0200X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee