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Individual

DR. ROBERT BOYD MICKELSEN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
UNM HOSPITAL INTERNAL MEDICINE, 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-0001
(505) 272-6225
Mailing address
1631 HARVARD DR NE, ALBUQUERQUE, NM 87131-0001
(505) 259-8046

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005-0367
NM
207R00000X
Internal Medicine Physician
Primary
CDRH.0056257
CO
207R00000X
Internal Medicine Physician
MD-46553
IA

Other

Enumeration date
02/06/2007
Last updated
01/08/2024
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