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1467448043
JOSEPH EDWARD MICKELSON
CASPER, WY
NPI
1467448043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 5638A)
Enumeration Date
2005-09-20
Last Update Date
2020-08-11
Business Address
-- JOSEPH EDWARD MICKELSON MD
6500 E 2ND ST SUITE 200
CASPER, WY 82609-4338
Phone number: 307-577-5100
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Mailing Address
-- JOSEPH EDWARD MICKELSON MD
6500 E 2ND ST SUITE 200
CASPER, WY 82609-4338
Phone number: 307-577-5100
Copy
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