Philip M Micksch, NP
NPI #1669832887 in Two Rivers, Wisconsin
Provider Information
- NPI Number
- 1669832887
- Entity Type
- Individual
- Name
- Philip M Micksch, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Mar 1, 2016
- Last Updated
- Apr 23, 2020
Practice Location
- Address
- 5300 MEMORIAL DR
- Address 2
- SUITE 303
- City
- Two Rivers
- State
- Wisconsin
- ZIP Code
- 54241-3923
- Phone
- (920) 793-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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