Search › Missouri › 207RC0000X
Judith Mickelson, M.D
NPI 1700876190 · on the registry since 2005
Practice
- Address
- 117 Trail Creek Ct
Cottleville, MO 63304 - Phone
- (513) 543-0595
Additional practice sites
- 915 N Grand Blvd, Saint Louis, MO
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 174400000X
174400000X
207RC0000X - Licence states on file
- OH, ME, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-12
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 Missouri