Mickus, David J

Mickus, David J is an individual health care provider with primary practice located at 4515 S Mcclintock Dr Ste 100, Tempe AZ 85282-7381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mickus, David J can be contacted via phone (480) 820-1133.

Contact Information

Primary practice address
4515 S Mcclintock Dr Ste 100 Tempe AZ 85282-7381
Phone: (480) 820-1133
Fax: (480) 820-9292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20825 Arizona

Profile Details

NPI number 1871599688
LBN Legal business name Mickus, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Feb 11th, 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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