MR. Mitchell Julius Likness, PA-C

NPI #1073091757 in Fargo, North Dakota

Provider Information

NPI Number: 1073091757
Entity Type: Individual
Name: MR. Mitchell Julius Likness, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 3, 2018
Last Updated: Aug 17, 2021

Practice Location

Address: 736 BROADWAY N
City: Fargo
State: North Dakota
ZIP Code: 58102-4421
Phone: (605) 280-0669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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