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Riley Susan Mickelsen, MD
Student in an Organized Health Care Education/Training Program in Santa Clara, California
NPI 1720665078

Riley Susan Mickelsen is a Student in an Organized Health Care Education/Training Program based in Santa Clara, CA. Riley Susan Mickelsen practices in Santa Clara, CA and has the professional credentials of MD. The NPI Number for Riley Susan Mickelsen is 1720665078 and holds a License No. (California).

The current practice location address for Riley Susan Mickelsen is 700 Lawrence Expy, Santa Clara, CA and can be reached out via phone at 408-851-1000.

Location: 700 Lawrence Expy, Santa Clara, CA, 95051-5173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720665078
Provider Name
Riley Susan Mickelsen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
700 Lawrence Expy, Santa Clara, CA, 95051-5173
Phone Number
408-851-1000
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 Lawrence Expy
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-851-1000
Fax Number
person
Provider Business Mailing Address Details
Address
700 Lawrence Expy
City
Santa Clara
State
California
Zip
95051-5173
Phone Number
408-851-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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