Joseph Dale Mickelson in Liberty Lake - Family Medicine
Joseph Dale Mickelson - NPI 1578769816
Joseph Dale Mickelson is a Family Medicine in Liberty Lake, Washington. Joseph Dale Mickelson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Joseph Dale Mickelson is 1578769816. The last update date is 2015-12-30.
Joseph Dale Mickelson's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 5096242313. The mailing address for Joseph Dale Mickelson is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Dale Mickelson |
|---|---|
| Address | Po Box 421, Liberty Lake, Washington |
| Phone Number | 5096242313 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578769816 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2015-12-30 |
Provider Mailing Address Detail
| Address | Po Box 421 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190421 |
| Phone Number | 5096242313 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01066154A |
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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 Joseph Dale Mickelson by the Centers for Medicare & Medicaid Services?
The Joseph Dale Mickelson has been issued the NPI (National Provider Identifier) 1578769816 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Joseph Dale Mickelson's facilities are situated?
The facilities of Joseph Dale Mickelson are physically located at the following address: Po Box 421, Liberty Lake, WA, 990190421.
What is Joseph Dale Mickelson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joseph Dale Mickelson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1578769816 assigned to Joseph Dale Mickelson?
The Joseph Dale Mickelson was issued its 1578769816 on 2007-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Joseph Dale Mickelson's information last updated?
The Joseph Dale Mickelson's information was last updated on 2015-12-30.