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Search › Michigan › 207V00000X

Ira Mickelson, MD

NPI 1760576516 · on the registry since 2006 · sole proprietor

Practice

Address
1777 Axtell
Suite 102
Troy, MI 48084
Phone
(248) 822-6200
Organisation at this address
Advanced Healthcare For Women Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207QA0401X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-11-13

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 Michigan