Individual
MARK E. MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD426191
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD426191
PA
207RP1001X
Pulmonary Disease Physician
Primary
DR.0067140
CO
207RP1001X
Pulmonary Disease Physician
MD426191
PA
Other
Enumeration date
12/18/2006
Last updated
12/03/2021
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