Provider Demographics
NPI:1649647421
Name:SYKULA, RENATA
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:SYKULA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 GARDEN LN W
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-2912
Mailing Address - Country:US
Mailing Address - Phone:269-830-0361
Mailing Address - Fax:
Practice Address - Street 1:2806 GARDEN LN W
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-2912
Practice Address - Country:US
Practice Address - Phone:269-830-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other