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Search › California › 363A00000X

Steven Mickelson, PA

NPI 1477673804 · on the registry since 2007

Practice

Address
651 1st St W Ste L
Sonoma, CA 95476
Phone
(415) 927-0666
Organisation at this address
Dupontdpm Inc.
Prima Medical Foundation
Prima Medical Foundation
Prima Medical Foundation
Mental Health Practitioners
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 1900 Scenic Dr, Georgetown, TX
  • 7800 Shoal Creek Blvd, Austin, TX

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
TX, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-04

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 California