DR. Judith K Mickelson, M.D.

NPI #1700876190 in Cottleville, Missouri

Provider Information

NPI Number: 1700876190
Entity Type: Individual
Name: DR. Judith K Mickelson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Oct 26, 2005
Last Updated: Mar 12, 2025

Practice Location

Address: 117 TRAIL CREEK CT
City: Cottleville
State: Missouri
ZIP Code: 63304-7594
Phone: (513) 543-0595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X

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