Individual
MR. MITCHELL JULIUS LIKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(605) 280-0669
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12785
MN
Other
Enumeration date
08/03/2018
Last updated
08/17/2021
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