DENNIS LYNN MICKLESON

PALMER, AK
NPI1619388600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: AK  AA2638)
Enumeration Date2014-05-13
Last Update Date2014-05-13
Business Address
Dr. DENNIS LYNN MICKLESON M.D.
8220 GOLD BULLION BLVD
PALMER, AK 99645
Phone number: 907-745-0832
Mailing Address
Dr. DENNIS LYNN MICKLESON M.D.
PO BOX 2863
PALMER, AK 99645-2863
Phone number: 907-745-0832