Individual
DUSTIN MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E MAIN ST STE 104, DANVILLE, IN 46122-1948
(317) 838-9355
Mailing address
1000 E MAIN ST STE 104, DANVILLE, IN 46122-1948
(317) 838-9355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010478A
IN
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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