LUCAS JOHN MIKKELSEN

SIOUX FALLS, SD
NPI1881112753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-08-31
Last Update Date2017-08-31
Business Address
Mr. LUCAS JOHN MIKKELSEN PA-C
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104-4651
Phone number: 605-328-2663
Mailing Address
Mr. LUCAS JOHN MIKKELSEN PA-C
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104-4651
Phone number: