Individual provider · Type 1 NPI
Tracy D. Mickelsen, CSFA
Surgical Physician Assistant · Meridian, ID
NPI number
1801073655
Active
Practice location
3015 E Magic View Dr
Meridian, ID 83642-3743
Fax (208) 482-5515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 178692 (ID) |
Surgical Physician Assistant: Definition to come...
6 other providers at this address
- Allied Orthopaedics, LLCOrthopaedic Surgery Physician Meridian, ID NPI 1760840987
- Direct Orthopedic Care LLCOrthopaedic Surgery Physician Meridian, ID NPI 1245778208
- April D. West, P.A.Physician Assistant Meridian, ID NPI 1801073143
- Brent D. Kooy, P.A.Medical Physician Assistant Meridian, ID NPI 1033261458
- Jennifer Raun Lucas, PA-CPhysician Assistant Meridian, ID NPI 1356893549
- Matti PartchPhysician Assistant Meridian, ID NPI 1851932057
Other surgical physician assistant providers in Meridian
- Claire Magnolo, PA-CSurgical Physician Assistant Meridian, ID NPI 1003869355
- William B. Curtis, O.P.A.-CSurgical Physician Assistant Meridian, ID NPI 1093853871
- Tracey Reeve, PA-CSurgical Physician Assistant Meridian, ID NPI 1174789994
- Lauren Galligar, PA-CSurgical Physician Assistant Meridian, ID NPI 1245789536
- Carly Petrie, PASurgical Physician Assistant Meridian, ID NPI 1265158810
- Anne M. PetersonSurgical Physician Assistant Meridian, ID NPI 1447688312
- Shannon L. Gardiner, PASurgical Physician Assistant Meridian, ID NPI 1689701260
- Judson Robert Mead, PASurgical Physician Assistant Meridian, ID NPI 1770213761
About NPI 1801073655
Tracy D. Mickelsen, CSFA's National Provider Identifier is 1801073655, issued on Jan 23, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Meridian, ID. The record was last updated on Dec 7, 2017.