Individual
DR. ROXANNE CANO MICKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
M-17464
ID
207Y00000X
Otolaryngology Physician
P8160
TX
207YS0123X
Facial Plastic Surgery Physician
Primary
C206957
CA
Other
Enumeration date
07/27/2012
Last updated
07/28/2026
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