Individual provider · Type 1 NPI
Thomas L. Michalsen, DO
General Practice Physician · Kirkland, IL
NPI number
1114947876
Active
Practice location
406 S 5th St
Kirkland, IL 60146-7711
Fax (815) 522-3855
Mailing address
1713 Oakwood Glen Close
Rockford, IL 61108-7011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 036066772 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1114947876
Thomas L. Michalsen, DO's National Provider Identifier is 1114947876, issued on Jul 19, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kirkland, IL. The record was last updated on Aug 22, 2022.