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Philip M Micksch, NP
Nurse Practitioner in Two Rivers, Wisconsin
NPI 1669832887

Philip M Micksch is a Nurse Practitioner based in Two Rivers, WI. Philip M Micksch practices in Two Rivers, WI and has the professional credentials of NP. The NPI Number for Philip M Micksch is 1669832887 and holds a License No. 6871 - 33 (Wisconsin).

The current practice location address for Philip M Micksch is 5300 Memorial Dr, Two Rivers, WI and can be reached out via phone at 920-793-6550 and via fax at 920-793-6551.

Location: 5300 Memorial Dr, Two Rivers, WI, 54241-3923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669832887
Provider Name
Philip M Micksch
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
5300 Memorial Dr, Two Rivers, WI, 54241-3923
Phone Number
920-793-6550
Fax Number
920-793-6551
Provider Enumeration Date
03/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5300 Memorial Dr
City
Two Rivers
State
Wisconsin
Zip
54241-3923
Phone Number
920-793-6550
Fax Number
920-793-6551
person
Provider Business Mailing Address Details
Address
5300 Memorial Dr
City
Two Rivers
State
Wisconsin
Zip
54241-3923
Phone Number
920-793-6550
Fax Number
920-793-6551
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
6871-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6871 - 33 (Wisconsin)
Definition
Definition to come...
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