DR. Craig Roberts Mickelson, O.D.

NPI #1184720013 in Thief River Falls, Minnesota

Provider Information

NPI Number: 1184720013
Entity Type: Individual
Name: DR. Craig Roberts Mickelson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 16, 2006
Last Updated: Oct 24, 2011

Practice Location

Address: 1720 HIGHWAY 59 S
City: Thief River Falls
State: Minnesota
ZIP Code: 56701-4331
Phone: (218) 681-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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