Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thomas James Mikulski, DO

Individual provider Emergency Medicine Physician · NPI 1215169438

Dr. Thomas James Mikulski, DO is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2009, 17 years ago. Practices with Southwestern Michigan Emergency Services, PC, a 67-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

200 Jefferson Ave SE C/o Eloise Mika Gremg
Grand Rapids, MI 49503-4502
Phone: (616) 685-6781
Fax: (616) 685-3064
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101018330 (MI)

Record details

NPI number1215169438
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 21, 2009
Last updated in NPPESDecember 23, 2014
Mailing address600 Broadway Ave Nw, Apt. 620a, Grand Rapids, MI 49504-7305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2009 (17 years in practice)
Group practice Southwestern Michigan Emergency Services, Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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