Cody Brad Mickelsen, MD

NPI #1013159003 in Rochester, New York

Provider Information

NPI Number: 1013159003
Entity Type: Individual
Name: Cody Brad Mickelsen, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Apr 6, 2009
Last Updated: Jun 16, 2016

Practice Location

Address: 601 ELMWOOD AVE
Address 2: BOX 604
City: Rochester
State: New York
ZIP Code: 14642-0001
Phone: (585) 275-1384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Anesthesiology	207L00000X	Primary

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