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Individual

JEFFREY MIKKELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1221 E MAIN ST, MARSHALL, MN 56258-2582
(507) 532-9198
(507) 532-2079
Mailing address
1111 WASHINGTON AVE, MARSHALL, MN 56258-1957
(507) 380-1815

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120370
MN

Other

Enumeration date
10/15/2020
Last updated
10/15/2020
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