Mikal Joseph Mikkelson in Saint James - Physician Assistant
Mikal Joseph Mikkelson - NPI 1093896037
Mikal Joseph Mikkelson is a Physician Assistant in Saint James, Minnesota. Mikal Joseph Mikkelson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mikal Joseph Mikkelson is 1093896037. The last update date is 2020-09-17.
Mikal Joseph Mikkelson's current location address is 1101 Moulton And Parsons Dr, Saint James, Minnesota. You can contact this provider via phone number 5073753391. The mailing address for Mikal Joseph Mikkelson is 1101 Moulton And Parsons Dr, Saint James, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mikal Joseph Mikkelson |
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Address | 1101 Moulton And Parsons Dr, Saint James, Minnesota |
Phone Number | 5073753391 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1093896037 |
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Provider Enumeration Date | 2006-10-18 |
Last Updated Date | 2020-09-17 |
Provider Mailing Address Detail
Address | 1101 Moulton And Parsons Dr |
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City | Saint James |
State | Minnesota (MN) |
Post Code | 560815550 |
Phone Number | 5073753391 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10977 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Mikal Joseph Mikkelson by the Centers for Medicare & Medicaid Services?
The Mikal Joseph Mikkelson has been assigned the NPI (National Provider Identifier) 1093896037. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mikal Joseph Mikkelson is located?
The Mikal Joseph Mikkelson is situated at the following address: 1101 Moulton And Parsons Dr, Saint James, MN, 560815550.
What is Mikal Joseph Mikkelson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mikal Joseph Mikkelson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Mikal Joseph Mikkelson receive its 1093896037 assignment from the Centers for Medicare & Medicaid Services?
The Mikal Joseph Mikkelson was assigned its 1093896037 by the Centers for Medicare & Medicaid Services on 2006-10-18.
When was the information regarding Mikal Joseph Mikkelson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mikal Joseph Mikkelson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-17.