JODY MIKKELSON, PA-C

Physician Assistant

Active Individual
NPI: 1669400156

Practice Address

9825 HOSPITAL DR STE 300
Maple Grove, MN 55369

Phone: (763) 587-7900

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 9584 (MN)

Frequently Asked Questions

NPI 1669400156 is the National Provider Identifier for JODY MIKKELSON, PA-C, a Physician Assistant provider located in Maple Grove, MN. This NPI was enumerated on June 30, 2006.
JODY MIKKELSON, PA-C practices at 9825 HOSPITAL DR STE 300, Maple Grove, MN 55369.

Quick Facts

NPI
1669400156
Type
Individual
Enumerated
Jun 30, 2006
Last Updated
Nov 8, 2022

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