Individual
DR. DARREN LAMAR MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2710 HARNEY ST STE 100, LARAMIE, WY 82072-0001
(307) 742-3242
(307) 742-3242
Mailing address
3318 REYNOLDS ST, LARAMIE, WY 82072-5094
(307) 742-3242
(307) 742-3282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7962A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126564400
—
WY
Enumeration date
07/19/2007
Last updated
09/19/2022
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