SCOT D MICKELSON

ST ALEXIUS MEDICAL CENTER

Dr SCOT D MICKELSON is a male medical professional, specializing in Family Medicine. He graduated in 2013 from Kansas City University Of Physicians And Surgeons.

Contact

ST ALEXIUS MEDICAL CENTER

2500 SUNSET DR
MANDAN
ND
585541540

Tel: 7016674600

SCOT D MICKELSON Information

Npi 1902247703
Pac Id 5597986133
Professional Enrollment Id I20160818001932
Last Name MICKELSON
First Name SCOT
Middle Name D
Suffix
Gender M
Credential
Medical School Name KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduation Year 2013
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST ALEXIUS MEDICAL CENTER
Group Practice Pac Id 8426960865
Number Of Group Practice Members 206
Line 1 Street Address 2500 SUNSET DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MANDAN
State ND
Zip Code 585541540
Phone Number 7016674600
Hospital Affiliation Ccn 1 350002
Hospital Affiliation Lbn 1 CHI ST ALEXIUS HEALTH
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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