Back to Search
MATTHEW MICKELSON
Family Nurse Practitioner
NPI: 1942907647IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
241314(WI)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
13661-33(WI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 4200 SAVANNAH DR
DEFOREST, WI 53532 - Phone
- (608) 417-3300
Quick Facts
- NPI
- 1942907647
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 4
Are you this provider?
Claim Your Profile