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Dr. Tommy Mikkelsen, MD
Neurological Surgery Physician in Detroit, Michigan
NPI 1306911045

Tommy Mikkelsen is a Neurological Surgery Physician based in Detroit, MI. Tommy Mikkelsen practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Tommy Mikkelsen is 1306911045 and holds a License No. 062472 (Michigan).

The current practice location address for Tommy Mikkelsen is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-916-2436.

Location: 2799 W Grand Blvd, Detroit, MI, 48202-2608
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Provider Profile Details
NPI Number
1306911045
Provider Name
Tommy Mikkelsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Blvd, Detroit, MI, 48202-2608
Phone Number
313-916-2436
Fax Number
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TM062472 01 CHAMPUS-CHAMPUS
700H262230 01 BLUE CROSS-BLUE CROSS
303982210 05 MI
TM062472 01 COMMERCIAL-COMMERCIAL NUMBER
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Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-2436
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-2436
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
License No.
4301062472 (Michigan)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
062472 (Michigan)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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