Kristin Mickelson, PA-C
NPI #1982072682 in Upland, California
Provider Information
- NPI Number
- 1982072682
- Entity Type
- Individual
- Name
- Kristin Mickelson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 11, 2015
- Last Updated
- Oct 22, 2015
Practice Location
- Address
- 585 N MOUNTAIN AVE
- Address 2
- SUITE A
- City
- Upland
- State
- California
- ZIP Code
- 91786-8516
- Phone
- (909) 946-2228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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