SearchWisconsin124Q00000X

Debra Mickelson, RDH

NPI 1760783807 · on the registry since 2010

Practice

Address
1814 Appleton Rd
Menasha, WI 54952
Phone
(920) 731-7445
Fax
(920) 731-7490
Organisation at this address
Hope Clinic And Care Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-11-05

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 Wisconsin