person
Mr. Nathan James Mickelson
Student in an Organized Health Care Education/Training Program in Columbus, Ohio
NPI 1114194230

Nathan James Mickelson is a Student in an Organized Health Care Education/Training Program based in Cleveland, OH. Nathan James Mickelson practices in Columbus, OH. The NPI Number for Nathan James Mickelson is 1114194230 and holds a License No. (Ohio).

The current practice location address for Nathan James Mickelson is 5100 W Broad St, Columbus, OH and can be reached out via phone at 614-544-2089.

Location: 5100 W Broad St, Columbus, OH, 44114-3538
person
Provider Profile Details
NPI Number
1114194230
Provider Name
Nathan James Mickelson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5100 W Broad St, Columbus, OH, 44114-3538
Phone Number
614-544-2089
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5100 W Broad St
City
State
Zip
43228-1607
Phone Number
614-544-2089
Fax Number
person
Provider Business Mailing Address Details
Address
5100 W Broad St
City
State
Zip
43228-1607
Phone Number
614-544-2089
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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