Search › Illinois › 207R00000X
Thomas Mikkelson, MD
NPI 1881708410 · on the registry since 2006
Practice
- Address
- 5900 Bond Ave
East Saint Louis, IL 62207 - Phone
- (618) 332-5212
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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 Illinois