Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON C MICKELSEN, D.O.
ActiveBRANDON C MICKELSEN, D.O. is a Family Medicine healthcare provider located in POCATELLO, Idaho. NPI 1417987686 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · POCATELLO, ID
Registration Details
- NPI Number
- 1417987686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (20.101449199628 yrs)
- Last Updated
- Sep 22, 2011
- License
-
O-0450 (ID)
Practice Information
- Address
-
1951 BENCH RDSUITE BPOCATELLO, ID, 832012073Browse ID providers · Browse ZIP 83201
- Phone
- 2082381000
- Fax
- 2082380009
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| JON DANIEL MALAN | DO | 1306842232 |
| DR. MARK HORROCKS | M.D. | 1700885258 |
| DR. LUIS FERNANDEZ | MD | 1841299302 |
| MRS. KELLI DEANNE CHRISTENSEN | MD | 1366443699 |
| JONATHAN CREE | MD | 1144213554 |
| NANCY ALSTON | MD | 1578556965 |
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.