Mickelson, John G

Mickelson, John G is an individual health care provider with primary practice located at 3838 12Th Ave N , Fargo ND 58102-2931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Mickelson, John G can be contacted via phone (701) 234-4700.

Contact Information

Primary practice address
3838 12Th Ave N Fargo ND 58102-2931
Phone: (701) 234-4700
Fax: (701) 234-4757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34645 Minnesota
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 6205 North Dakota

Profile Details

NPI number 1497773097
LBN Legal business name Mickelson, John G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 30th, 2011 - about 13 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.

Request for update

Popular Providers