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

IRA MICKELSON, MD

Active Sole Proprietor

IRA MICKELSON, MD is a Obstetrics & Gynecology healthcare provider located in TROY, Michigan. NPI 1760576516 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · TROY, MI

Registration Details

NPI Number
1760576516
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2006 (19.907905968422 yrs)
Last Updated
Nov 13, 2018
Licenses
5304001863 (MI)
IM043839 (MI)
Sole Proprietor
Yes

Practice Information

Address
1777 AXTELL
SUITE 102
TROY, MI, 48084
Browse MI providers · Browse ZIP 48084
Phone
2488226200
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in TROY, MI

Name Credential NPI
MARK EDWARD OHM MD 1245236058
BEATA KOSTRZEWA WEIERMILLER MD 1972509784
MARLENE BETH SELTZER MD 1669478475
DR. MARC H ADELMAN D.O. 1295728202
DR. DONALD M TAYLOR MD 1295726909
DR. EDUARDO J. GARCIA M.D. 1851382006
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.