Richard Wayne Mickelsen is a Child & Adolescent Psychiatry Physician based in Provo, UT and is specialized in Child & Adolescent Psychiatry. Richard Wayne Mickelsen practices in Provo, UT and has the professional credentials of MD. The NPI Number for Richard Wayne Mickelsen is 1740250372 and holds a License No. 5336032-1205 (Utah).
The current practice location address for Richard Wayne Mickelsen is 1300 E Center St, Provo, UT and can be reached out via phone at 801-344-4215 and via fax at 801-344-4225.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U002 | 01 | UT | DESERET MUTUAL |
| U003 | 01 | UT | EDUCATORS MUTUAL |
| U001 | 01 | UT | BLUE CROSS |
| U006 | 01 | UT | INTERMOUTAIN HEALTH CARE |
| U009 | 01 | UT | CHAMPUS |
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