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1356347744
JULIE MICKELSON
MILWAUKEE, WI
NPI
1356347744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WI 37828)
Enumeration Date
2005-06-22
Last Update Date
2012-06-12
Business Address
-- JULIE MICKELSON M.D.
2311 N PROSPECT AVE
MILWAUKEE, WI 53211-4445
Phone number: 414-319-3000
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Mailing Address
-- JULIE MICKELSON M.D.
4425 N PORT WASHINGTON RD ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-319-3000
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