Individual provider · Type 1 NPI

Jacob Michelsen, PA

Medical Physician Assistant · Caldwell, ID

NPI number 1841803533 Active

Practice location

2005 Arlington Ave
Caldwell, ID 83605-4808

Fax (208) 466-5359

Mailing address

PO Box 9
Nampa, ID 83653-0009

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1841803533

Jacob Michelsen, PA's National Provider Identifier is 1841803533, issued on Aug 24, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Caldwell, ID. The record was last updated on Aug 24, 2020.