Individual
SCOTT ANTHONY MIKESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 E SUPERIOR ST, STE. L201, DULUTH, MN 55802-2207
(218) 249-3057
(218) 249-3091
Mailing address
1001 E SUPERIOR ST, STE. L201, DULUTH, MN 55802-2207
(218) 249-3057
(218) 249-3091
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
52837
MN
207RI0011X
Interventional Cardiology Physician
Primary
52837
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881684942
—
IA
Enumeration date
10/28/2005
Last updated
04/22/2026
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