Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN MIKKELSEN, M.D.
Active Sole ProprietorDR. EDWIN MIKKELSEN, M.D. is a Psychiatry healthcare provider located in WELLESLEY, Massachusetts. NPI 1992756530 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · WELLESLEY, MA
Registration Details
- NPI Number
- 1992756530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.222332962993 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36837 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
67 YARMOUTH RDWELLESLEY, MA, 024811248Browse MA providers · Browse ZIP 02481
- Phone
- 6177904248
- Fax
- 7812375953
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in WELLESLEY, MA
| Name | Credential | NPI |
|---|---|---|
| DR. JEROME S GANS | MD | 1306837455 |
| DR. SUSAN EDITH RUSKIN | M.D. | 1073586780 |
| DR. BEVERLY PAGE ST. CLAIR | M.D. | 1649235821 |
| R. LAWRENCE ST. CLAIR | M.D. | 1841255023 |
| DR. STEPHANIE ALEXIS DAVIDOFF | M.D. PH.D. | 1669421236 |
| MAHNOOSH ESLAMI | MD | 1871545509 |
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.