Individual
MELISSA MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5973 BEATRICE DRIVE, KALAMAZOO, MI 49009
(269) 286-7110
(269) 286-7031
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002479
MI
Other
Enumeration date
08/24/2006
Last updated
11/27/2023
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