Individual
DR. ANNIE LEE MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9033 ROCKY LAKE CT, SARASOTA, FL 34238-4007
(612) 940-0827
Mailing address
9033 ROCKY LAKE CT, SARASOTA, FL 34238-4007
(612) 940-0827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14478
FL
111N00000X
Chiropractor
4726-12
WI
111N00000X
Chiropractor
5549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053680991
—
MN
Enumeration date
12/21/2011
Last updated
04/10/2024
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