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

Mark A Mikula, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1619973153

Mark A Mikula, MD is an Emergency Medicine in Traverse City, Michigan. Graduated from University of Michigan Medical School in 1996, 30 years ago. Practices with Interlochen Emergency Group PC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1105 6th St
Traverse City, MI 49684-2349
Phone: (231) 947-0673
Fax: (801) 740-2847
Show map & directions

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

Additional practice locations (1)

  • 419 S Coral St, Kalkaska, MI 49646-2503 — (231) 258-7506

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 4301068135 (MI)

Record details

NPI number1619973153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address4624 N Spider Lake Rd, Traverse City, MI 49696-8440

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Interlochen Emergency Group Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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