Individual
BRIAN MIKKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-4500
Mailing address
150 ENCHANTED RD, GOLDEN, CO 80401-8803
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
PA.0008067
CO
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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