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1972561496
MICHAEL K MIKKELSON
BLUFFTON, SC
NPI
1972561496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 15315)
Enumeration Date
2006-05-03
Last Update Date
2013-04-18
Business Address
DR. MICHAEL K MIKKELSON MD
181 BLUFFTON RD BLDG G101G102
BLUFFTON, SC 29910-6221
Phone number: 843-757-5400
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Mailing Address
DR. MICHAEL K MIKKELSON MD
PO BOX 2599
BLUFFTON, SC 29910-2599
Phone number: 843-757-5400
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