JUDITH K MICKELSON

SAINT LOUIS, MO
NPI1700876190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MO  2017039388)
Additional Taxonomies174400000X Specialist
(Licence: OH  35-078636)
174400000X Specialist
(Licence: ME  MD24100)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: OH  35-078636)
Enumeration Date2005-10-26
Last Update Date2024-04-02
Business Address
Dr. JUDITH K MICKELSON M.D.
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
Mailing Address
Dr. JUDITH K MICKELSON M.D.
117 TRAIL CREEK CT
COTTLEVILLE, MO 63304-7594
Phone number: 513-543-0595