Individual
AMY MICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 CRUTCHFIELD ST, DURHAM, NC 27704-2726
(919) 296-4034
Mailing address
407 CRUTCHFIELD ST, DURHAM, NC 27704-2726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2025-01177
NC
Other
Enumeration date
03/24/2020
Last updated
12/22/2025
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