Individual
MICHAEL MICHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-7000
Mailing address
2219 CLARA ST, SEARCY, AR 72143-3158
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R108785
AR
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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