Tamara Mickelson, PA-C
NPI #1326457813 in Gig Harbor, Washington
Provider Information
- NPI Number
- 1326457813
- Entity Type
- Individual
- Name
- Tamara Mickelson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 8, 2014
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 11511 CANTERWOOD BLVD STE 105
- City
- Gig Harbor
- State
- Washington
- ZIP Code
- 98332-5813
- Phone
- (253) 985-2949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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