JOHN G MICKELSON

FARGO, ND
NPI1497773097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083X0100X Preventive Medicine, Occupational Medicine
(Licence: ND  6205)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MN  34645)
Enumeration Date2006-07-18
Last Update Date2011-11-30
Business Address
JOHN G MICKELSON DO
3838 12TH AVE N
FARGO, ND 58102-2931
Phone number: 701-234-4700
Mailing Address
JOHN G MICKELSON DO
3838 12TH AVE N
FARGO, ND 58102-2931
Phone number: 701-234-4700