Mikkelson, Mikal Joseph

Mikkelson, Mikal Joseph is an individual health care provider with primary practice located at 1101 Moulton And Parsons Dr , Saint James MN 56081-5550. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mikkelson, Mikal Joseph can be contacted via phone (507) 375-3391.

Contact Information

Primary practice address
1101 Moulton And Parsons Dr Saint James MN 56081-5550
Phone: (507) 375-3391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1841 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10977 Minnesota

Profile Details

NPI number 1093896037
LBN Legal business name Mikkelson, Mikal Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Sep 17th, 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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