Mikelle E Mikesell, DO

NPI #1043067424 in Boise, Idaho

Provider Information

NPI Number: 1043067424
Entity Type: Individual
Name: Mikelle E Mikesell, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: May 2, 2024
Last Updated: May 2, 2024

Practice Location

Address: 8610 W OVERLAND RD
City: Boise
State: Idaho
ZIP Code: 83709-1645
Phone: (208) 954-8711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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