Micksch, Philip M

Micksch, Philip M is an individual health care provider with primary practice located at 5300 Memorial Dr Suite 303, Two Rivers WI 54241-3923. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Micksch, Philip M can be contacted via phone (920) 793-6550.

Contact Information

Primary practice address
5300 Memorial Dr Suite 303 Two Rivers WI 54241-3923
Phone: (920) 793-6550
Fax: (920) 793-6551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6871 - 33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6871-33 Wisconsin

Profile Details

NPI number 1669832887
LBN Legal business name Micksch, Philip M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2016
Last updated Apr 23rd, 2020 - about 6 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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