Tina Mikkelson

NPI #1194365973 in Jamestown, North Dakota

Provider Information

NPI Number: 1194365973
Entity Type: Individual
Name: Tina Mikkelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 9, 2020
Last Updated: Jan 9, 2020

Practice Location

Address: 520 3RD ST NW
City: Jamestown
State: North Dakota
ZIP Code: 58401-2968
Phone: (701) 253-6319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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