Search › Nebraska › 207L00000X
Phillip Mickelsen, M.D
NPI 1518960012 · on the registry since 2005
Practice
- Address
- 6420 56th Ave
Kearney, NE 68845 - Phone
- (308) 224-2062
- Fax
- (888) 974-5962
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207L00000X
- Licence states on file
- MN, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-30
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 Nebraska