MR. TRACY MICKELSEN, CSFA

Physician Assistant - Surgical

Active Individual
NPI: 1801073655

Practice Address

3015 E MAGIC VIEW DR
Meridian, ID 83642

Phone: (208) 855-2410

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes 178692 (ID)

Frequently Asked Questions

NPI 1801073655 is the National Provider Identifier for MR. TRACY MICKELSEN, CSFA, a Physician Assistant - Surgical provider located in Meridian, ID. This NPI was enumerated on January 23, 2008.
MR. TRACY MICKELSEN, CSFA practices at 3015 E MAGIC VIEW DR, Meridian, ID 83642.

Quick Facts

NPI
1801073655
Type
Individual
Enumerated
Jan 23, 2008
Last Updated
Dec 7, 2017

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