Search › Wyoming › 171M00000X
Gordon Mickelson
NPI 1356678270 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3508 White Mountain Blvd
Rock Springs, WY 82901 - Phone
- (307) 389-9169
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2009-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming