Individual
CONNER MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 266-1530
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16932-33
WI
363LA2100X
Acute Care Nurse Practitioner
16932-33
WI
Other
Enumeration date
06/26/2025
Last updated
10/06/2025
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