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

PHILIP M MICKSCH, NP

Active

PHILIP M MICKSCH, NP is a Nurse Practitioner healthcare provider located in TWO RIVERS, Wisconsin. NPI 1669832887 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · TWO RIVERS, WI

Registration Details

NPI Number
1669832887
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2016 (10.274956081074 yrs)
Last Updated
Apr 23, 2020
Licenses
6871 - 33 (WI)
6871-33 (WI)

Practice Information

Address
5300 MEMORIAL DR
SUITE 303
TWO RIVERS, WI, 542413923
Browse WI providers · Browse ZIP 54241
Phone
9207936550
Fax
9207936551
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in TWO RIVERS, WI

Name Credential NPI
MARY P GOSPODAREK APNP 1386683563
MS. BEVERLY E BRANDT FNP 1336158021
MS. AMY J SCHLEUNES APNP 1316054695
MICHELLE K PETERSEN NP 1700041472
JENNIFER L MCDOLE ACNP 1417267758
SAMANTHA KLINKNER NP 1942617220
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.