Individual
STEVEN RICHARD MICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, E318-5 GH, IOWA CITY, IA 52242-1007
(319) 356-2585
(319) 353-6343
Mailing address
200 HAWKINS DR, E318-5 GH, IOWA CITY, IA 52242-1007
(319) 356-2585
(319) 353-6343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1244730
IA
207R00000X
Internal Medicine Physician
ME102956
FL
207RC0000X
Cardiovascular Disease Physician
1244730
IA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
1244730
IA
Other
Enumeration date
07/10/2008
Last updated
06/30/2014
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