Doctor Name: | TIMOTHY CHRISTOPHER KULIKOWSKI |
NPI Number: | 1114161874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | DO2297 |
Business Practice Address: | 43 Whiting Hill Rd Brewer, ME - 044121005 |
Business Phone Number: | 2079735000 |
Business Fax Number: | 2079735042 |
Mailing Address: | 915 Union St, Suite #4 BANGOR |
State: | ME |
Postal Code: | 044018602 |
Phone Number: | 2079738030 |
Fax Number: | 2079738662 |
NPI Enumeration Date: | 04/26/2009 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | DO2297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |