Mickelson, Daniel G
Mickelson, Daniel G is an individual health care provider with primary practice located at 737 Broadway , Fargo ND 58122-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mickelson, Daniel G can be contacted via phone (701) 234-2000.Contact Information
Primary practice address
737 Broadway
Fargo ND 58122-0001
Phone: (701) 234-2000
Fax: (701) 234-7332
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 5819 | North Dakota |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 5819 | North Dakota |
Profile Details
NPI number | 1215954854 |
---|---|
LBN Legal business name | Mickelson, Daniel G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Feb 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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