Individual
DR. PATRICK K. MICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2240 N HWY 89 STE D, HARRISVILLE, UT 84404-2824
(801) 782-2947
(801) 782-2948
Mailing address
2240 N HWY 89 STE D, HARRISVILLE, UT 84404-2824
(801) 782-2947
(801) 782-2948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6099655-1202
UT
Other
Enumeration date
05/25/2006
Last updated
03/05/2008
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