Charles Mickelson

NPI #1437740040 in Pipestone, Minnesota

Provider Information

NPI Number: 1437740040
Entity Type: Individual
Name: Charles Mickelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 27, 2021
Last Updated: Jan 27, 2021

Practice Location

Address: 802 8TH AVE SE
City: Pipestone
State: Minnesota
ZIP Code: 56164-1734
Phone: (507) 825-4259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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