Matthew Allan Mickelson
NPI #1942907647 in Deforest, Wisconsin
Provider Information
- NPI Number
- 1942907647
- Entity Type
- Individual
- Name
- Matthew Allan Mickelson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 13, 2023
- Last Updated
- Sep 12, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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