Individual
MR. PHILIP B. MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
441 E 8TH ST, LIMA, OH 45804-2482
(419) 221-3072
(419) 549-8257
Mailing address
329 N WEST ST, LIMA, OH 45801-4332
(419) 221-3072
(419) 549-5671
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30-021456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2835034
—
OH
Enumeration date
06/10/2008
Last updated
05/21/2018
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