Individual
DR. EDWIN MIKKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67 YARMOUTH RD, WELLESLEY, MA 02481-1248
(617) 790-4248
(781) 237-5953
Mailing address
67 YARMOUTH RD, WELLESLEY, MA 02481-1248
(617) 790-4248
(781) 237-5953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36837
MA
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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