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Melissa Mickelson
NPI 1629185673 · on the registry since 2006
Practice
- Address
- 5973 Beatrice Drive
Kalamazoo, MI 49009 - Phone
- (269) 286-7110
- Fax
- (269) 286-7031
- Clinicians at this address
- 16
Additional practice sites
- 4200 S Westnedge Ave, Kalamazoo, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan