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Dr. Judith K Mickelson, MD
Cardiovascular Disease Physician in Saint Louis, Missouri
NPI 1700876190

Judith K Mickelson is a Cardiovascular Disease Physician based in Cottleville, MO and is specialized in Cardiovascular Disease. Judith K Mickelson practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Judith K Mickelson is 1700876190 and holds a License No. 35-078636 (Missouri).

The current practice location address for Judith K Mickelson is 915 N Grand Blvd, Saint Louis, MO and can be reached out via phone at 314-652-4100. You can also correspond with Judith K Mickelson through the mailing address at 117 TRAIL CREEK CT, COTTLEVILLE, MO - 63304-7594 (mailing address contact number: 513-543-0595).

Location: 915 N Grand Blvd, Saint Louis, MO, 63304-7594
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Provider Profile Details
NPI Number
1700876190
Provider Name
Judith K Mickelson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
915 N Grand Blvd, Saint Louis, MO, 63304-7594
Phone Number
314-652-4100
Fax Number
Provider Enumeration Date
10/26/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060068472 01 RAILROAD MEDICARE
2209176 05 OH
institution
Provider Business Practice Location Address Details
Address
915 N Grand Blvd
City
State
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider Business Mailing Address Details
Address
915 N Grand Blvd
City
State
Zip
63106-1621
Phone Number
314-652-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD24100 (Maine)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
35-078636 (Ohio)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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