Stephen D Mickel MD

NPI 1700970167 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1700970167
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10180 SE SUNNYSIDE RD
CLACKAMAS OR, 97015-8970, US
Phone (503) 652-2880
Fax
Business Location
6301 PALOMINO WAY
WEST LINN OR, 97068-2245, US
Phone (503) 565-4366
Fax
Toxanomy
Taxonomy Code 207PE0004X
License State Oregon
License Number MD12725
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According to our database, Stephen D Mickel MD NPI is 1700970167, taxonomy code is 207PE0004X and license number is MD12725, license state is located at Oregon. Stephen D Mickel MD physically located at 10180 Se Sunnyside Rd, Clackamas OR, 97015-8970. NPI Number Stephen D Mickel MD has the Individual type.

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1700970167 NPI number is provided on an as is basis without warranty of any kind. 1700970167 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen D Mickel MD are for informational purposes only.