Provider Demographics
NPI:1114161874
Name:KULIKOWSKI, TIMOTHY CHRISTOPHER (DO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:CHRISTOPHER
Last Name:KULIKOWSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 BENNOCH RD
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-3623
Mailing Address - Country:US
Mailing Address - Phone:607-237-4399
Mailing Address - Fax:
Practice Address - Street 1:915 UNION ST STE 4
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-8603
Practice Address - Country:US
Practice Address - Phone:207-973-8030
Practice Address - Fax:207-973-8662
Is Sole Proprietor?:No
Enumeration Date:2009-04-26
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDO2297204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM