Mickelson, Julie
Mickelson, Julie is an individual health care provider with primary practice located at 2311 N Prospect Ave , Milwaukee WI 53211-4445. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mickelson, Julie can be contacted via phone (414) 319-3000.Contact Information
Primary practice address
2311 N Prospect Ave
Milwaukee WI 53211-4445
Phone: (414) 319-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 37828 | Wisconsin |
Profile Details
| NPI number | 1356347744 |
|---|---|
| LBN Legal business name | Mickelson, Julie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 12th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356347744 | NPPES |
| Wisconsin | Other | 5095123 | AETNA |
| Wisconsin | MEDICAID | 32234000 | AETNA |
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