John G Mickelson in Fargo - Family Medicine
John G Mickelson - NPI 1497773097
John G Mickelson is a Family Medicine in Fargo, North Dakota. John G Mickelson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John G Mickelson is 1497773097. The last update date is 2011-11-30.
John G Mickelson's current location address is 3838 12th Ave N, Fargo, North Dakota. You can contact this provider via phone number 7012344700 and fax number 7012344757. The mailing address for John G Mickelson is 3838 12th Ave N, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John G Mickelson |
|---|---|
| Address | 3838 12th Ave N, Fargo, North Dakota |
| Phone Number | 7012344700 |
| Fax Number | 7012344757 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1497773097 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | 3838 12th Ave N |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581022931 |
| Phone Number | 7012344700 |
| Fax Number | 7012344757 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 34645 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John G Mickelson by the Centers for Medicare & Medicaid Services?
The John G Mickelson has been issued the NPI (National Provider Identifier) 1497773097 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the John G Mickelson's physical address?
The John G Mickelson is physically located at 3838 12Th Ave N, in the city of Fargo, ND, with the postal code 581022931.
What is John G Mickelson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John G Mickelson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497773097 to John G Mickelson?
The Centers for Medicare & Medicaid Services assigned the 1497773097 to John G Mickelson on 2006-07-18.
When was the information regarding John G Mickelson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John G Mickelson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-30.