Mickelson, John G
Mickelson, John G is an individual health care provider with primary practice located at 3838 12Th Ave N , Fargo ND 58102-2931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Mickelson, John G can be contacted via phone (701) 234-4700.Contact Information
Primary practice address
3838 12Th Ave N
Fargo ND 58102-2931
Phone: (701) 234-4700
Fax: (701) 234-4757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34645 | Minnesota |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 6205 | North Dakota |
Profile Details
| NPI number | 1497773097 |
|---|---|
| LBN Legal business name | Mickelson, John G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 30th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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