person
Rilee Wong Mickelsen, PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1770346835

Rilee Wong Mickelsen is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Rilee Wong Mickelsen practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Rilee Wong Mickelsen is 1770346835 and holds a License No. MA065365 (Pennsylvania).

The current practice location address for Rilee Wong Mickelsen is 111 S 11Th St Ste 8290, Philadelphia, PA and can be reached out via phone at 215-955-6161.

Location: 111 S 11Th St Ste 8290, Philadelphia, PA, 19127-0637
person
Provider Profile Details
NPI Number
1770346835
Provider Name
Rilee Wong Mickelsen
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
111 S 11Th St Ste 8290, Philadelphia, PA, 19127-0637
Phone Number
215-955-6161
Fax Number
Provider Enumeration Date
02/01/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St Ste 8290
City
State
Zip
19107-4824
Phone Number
215-955-6161
Fax Number
person
Provider Business Mailing Address Details
Address
111 S 11Th St Ste 8290
City
State
Zip
19107-4824
Phone Number
215-955-6161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA065365 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA065365 (Pennsylvania)
Definition
Definition to come...
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