DR. DANIEL TIMOTHY KULICK (NPI# 1720206600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720206600 |
| Entity Type | Individual |
| Full Name | DR. DANIEL TIMOTHY KULICK |
| Credential | DO |
| Practice Address |
4472 Main St Brown City MI 48416-7908 |
| Practice Telephone | 8103462751 |
| Mailing Telephone | 8103462751 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101016234 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5101016234 | 01 |
| MI | GROUP NPI | 1376695205 | 01 |
| MI | CONTROLLED SUBSTANCE LICENSE | 5315024530 | 01 |
| MI | CAQH ID | 11762285 | 01 |
| MI | 2ND DEA | XK9452979 | 01 |
| MI | DEA | BK9452979 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679550123 | Daniel L Kulick | Internal Medicine | 26800 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691-6384 | 2005-12-27 |
| Street Address |
4472 MAIN ST |
| City | BROWN CITY |
| State | MI |
| Zip Code | 48416-7908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891755104 | Kimberly L Verellen | Physician Assistant | 4472 Main St, Brown City, MI 48416-7908 | 2006-03-23 |
| 1740686534 | Margaret M Marth | Nurse Practitioner | 4472 Main St, Brown City, MI 48416-7908 | 2014-11-06 |
| 1376695205 | Marlette Regional Hospital | Clinic/Center | 4472 Main St, Brown City, MI 48416-7908 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519602 | Mehgan Krick | Physical Therapist | 4217 Main St, Brown City, MI 48416 | 2011-08-16 |
| 1427136902 | Professional Rehab Services Inc. | Physical Therapist | 4233 Main Street, Brown City, MI 48416 | 2006-11-01 |
| 1700802030 | Ehardt's Pharmacy Inc. | Pharmacy | 4436 Main St., Brown City, MI 48416 | 2006-07-13 |
| 1548523848 | Ryan Scott Banks | Chiropractor | 4444 Main St, Brown City, MI 48416 | 2012-06-21 |
| 1033632906 | Corporate Concierge Health & Wellness, LLC | Clinic/Center | 4217 Main St, Brown City, MI 48416-7715 | 2017-07-21 |
| 1457961773 | Kimberley Pauline Rhode | Nurse Practitioner | 4219 1st St, Brown City, MI 48416-7716 | 2020-08-01 |
| 1265966675 | Andrea Ferguson | Behavior Technician | 7085 Lincoln St, Brown City, MI 48416-7916 | 2017-04-12 |
| 1689703357 | Kelly Jo Pavel | Counselor | 6949 Cade Rd, Brown City, MI 48416-9165 | 2007-03-05 |
| 1144769266 | Kayla Parr | Assistant Behavior Analyst | 15318 Jeddo Rd, Brown City, MI 48416-9510 | 2017-02-22 |
| 1043772353 | Taylor A Wood | Physical Therapy Assistant | 6615 Linck Rd, Brown City, MI 48416-9672 | 2019-04-04 |
| Find all providers in zip 48416 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568452811 | Olan C Dombroske | Family Medicine | 7115 Cade Rd, Brown City, MI 48416-9778 | 2005-10-27 |
| 1346411246 | Robert T Brengel Do & Olan C Dombroske Do, Ptrs | Family Medicine | 7115 Cade Rd, Brown City, MI 48416-9778 | 2008-03-19 |
| 1821089574 | Robert Towner Brengel | Family Medicine | 7115 Cade Rd, Brown City, MI 48416-9778 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BROWN CITY |
| Zip Code | 48416 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.