RANDY J MICKELSON

VIROQUA, WI
NPI1255335725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  528)
Enumeration Date2005-06-13
Last Update Date2016-03-23
Business Address
-- RANDY J MICKELSON PA
407 S MAIN ST
VIROQUA, WI 54665-2100
Phone number: 608-637-3195
Mailing Address
-- RANDY J MICKELSON PA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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