Individual
MR. MICHAEL LEE MICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 OLD GENTILLY RD, USCG MEDICAL, NEW ORLEANS, LA 70129-2218
(504) 253-6506
Mailing address
606 E PAGE ST, CRESTON, IA 50801-4049
(850) 287-1144
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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