Individual
DR. JILL M MIKKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1024 QUINN DRIVE, WAUNAKEE, WI 53597
(608) 849-4521
(608) 849-8516
Mailing address
5879 WOODLAND DRIVE, WAUNAKEE, WI 53597
(608) 849-4521
(608) 849-8516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3655012
WI
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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