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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK D MICELI, M.D.

Active

MARK D MICELI, M.D. is a Psychiatry healthcare provider located in COON RAPIDS, Minnesota. NPI 1184658858 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · COON RAPIDS, MN

Registration Details

NPI Number
1184658858
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2006 (20.105174817194 yrs)
Last Updated
Oct 14, 2019
Licenses
2017034370 (MO)
25MA07643400 (NJ)
308-320 (WI)
64833 (MN)

Practice Information

Address
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN, 554332522
Browse MN providers · Browse ZIP 55433
Phone
6122621220
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry
Additional Specialty
Psychiatry

Other Psychiatry Providers in COON RAPIDS, MN

Name Credential NPI
YOSHIKO NAKAGAWA HAPKE MD 1710949672
JAMES ANDREW MCCOY MD 1972566313
KAREN KENNEY DICKSON MD 1821021924
DR. SHILPA MIKKILINENI M.D. 1255508610
JAMES E ROTH MD 1720243520
MIRZA SALMAN AHMED BAIG M.D. 1538485925
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.