Mickelson Eye Clinic, PA
NPI #1972528776 in Thief River Falls, Minnesota
Provider Information
- NPI Number
- 1972528776
- Entity Type
- Organization
- Organization Name
- Mickelson Eye Clinic, PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Apr 17, 2008
Practice Location
- Address
- 126 LABREE AVE S
- State
- Minnesota
- ZIP Code
- 56701-2819
- Phone
- (218) 683-3937
Authorized Official
- Name
- CRAIG R MICKELSON
- Title
- OWNER/ OPTOMETRIST
- Phone
- (218) 683-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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