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Ira Mickelson, MD
Obstetrics & Gynecology Physician in Troy, Michigan
NPI 1760576516

Ira Mickelson is a Obstetrics & Gynecology Physician based in Troy, MI. Ira Mickelson practices in Troy, MI and has the professional credentials of MD. The NPI Number for Ira Mickelson is 1760576516 and holds a License No. 5304001863 (Michigan).

The current practice location address for Ira Mickelson is 1777 Axtell, Troy, MI and can be reached out via phone at 248-822-6200.

Location: 1777 Axtell, Troy, MI, 48084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760576516
Provider Name
Ira Mickelson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1777 Axtell, Troy, MI, 48084
Phone Number
248-822-6200
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
160F318220 01 MI BCBS OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
1777 Axtell
City
Troy
State
Michigan
Zip
48084
Phone Number
248-822-6200
Fax Number
person
Provider Business Mailing Address Details
Address
1777 Axtell
City
Troy
State
Michigan
Zip
48084
Phone Number
248-822-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
IM043839 (Michigan)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
5304001863 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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