Mikesell, Scott Anthony

Mikesell, Scott Anthony is an individual health care provider with primary practice located at 1001 E Superior St Ste. L201, Duluth MN 55802-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mikesell, Scott Anthony can be contacted via phone (218) 249-3057.

Contact Information

Primary practice address
1001 E Superior St Ste. L201 Duluth MN 55802-2207
Fax: (218) 249-3091
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 52837 Minnesota

Profile Details

NPI number 1881684942
LBN Legal business name Mikesell, Scott Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Dec 4th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881684942 NPPES
Iowa MEDICAID 1881684942

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