Individual
DR. TIMOTHY J MICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
903 N 2ND ST, MONROE, LA 71201-5837
(318) 388-2050
(318) 325-3740
Mailing address
1404 EMERSON, MONROE, LA 71201
(318) 387-3474
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
016654
LA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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