Individual
DR. LAURA A MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN
Contact information
Practice address
1 VETERANS DR # 118, MINNEAPOLIS, MN 55417-2309
(612) 467-1022
Mailing address
1 VETERANS DR # 118, MINNEAPOLIS, MN 55417-2309
(612) 467-1022
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1107449
MN
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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