Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY J MICKELSON, PA
ActiveRANDY J MICKELSON, PA is a Physician Assistant healthcare provider located in VIROQUA, Wisconsin. NPI 1255335725 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VIROQUA, WI
Registration Details
- NPI Number
- 1255335725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2005 (20.984296346786 yrs)
- Last Updated
- Mar 23, 2016
- License
-
528 (WI)
Practice Information
- Address
-
407 S MAIN STVIROQUA, WI, 546652100Browse WI providers · Browse ZIP 54665
- Phone
- 6086373195
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in VIROQUA, WI
| Name | Credential | NPI |
|---|---|---|
| ANN M SHERRY | P.A. | 1740222983 |
| JESSICA L KLEIN | PA-C | 1871093203 |
| CRAIG AARON PIERCE | PA | 1437638210 |
| MITCHELL JAMES WINTER | PA-C | 1346835931 |
| BETH ANN WINTER | PA-C | 1043896020 |
| MIRANDA DELMEDICO | — | 1447053004 |
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.