JERRY FORREST MIKESELL

STATE COLLEGE, PA
NPI1730274432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: PA  MD033134E)
Enumeration Date2006-10-04
Last Update Date2007-08-29
Business Address
-- JERRY FORREST MIKESELL M.D.
1393 N ATHERTON ST
STATE COLLEGE, PA 16803-2932
Phone number: 814-238-6097
Mailing Address
-- JERRY FORREST MIKESELL M.D.
1393 N ATHERTON ST
STATE COLLEGE, PA 16803-2932
Phone number: 814-238-6097
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