Ashlee Diane Mickelson M.D.

NPI 1104027861 - Pediatrics - 208000000X

NPI Details
NPI 1104027861
Gender Female
Enumeration Date 05/30/2007
Last Updated 09/03/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3919 N MAPLE ST
SPOKANE WA, 99205-1349, US
Phone (509) 444-8888
Fax (509) 444-7806
Business Location
203 N WASHINGTON ST STE 300
SPOKANE WA, 99201-0254, US
Phone (509) 444-8888
Fax (509) 444-7806
Toxanomy
Taxonomy Code 208000000X
License State Washington
License Number MD60458815
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According to our database, Ashlee Diane Mickelson M.D. NPI is 1104027861, taxonomy code is 208000000X and license number is MD60458815, license state is located at Washington. Ashlee Diane Mickelson M.D. physically located at 3919 N Maple St, Spokane WA, 99205-1349. NPI Number Ashlee Diane Mickelson M.D. has the Individual type.

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1104027861 NPI number is provided on an as is basis without warranty of any kind. 1104027861 is maintained by the National Plan & Provider Enumeration System. The contents of Ashlee Diane Mickelson M.D. are for informational purposes only.