Individual
TIMOTHY JOHN MICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11795 EDUCATION ST STE 110, AUBURN, CA 95602-2469
(530) 886-6820
(530) 886-6821
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A74017
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
V2905
TX
Other
Enumeration date
03/29/2006
Last updated
10/03/2024
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