J Semmes Mickelwait MD Ps
J Semmes Mickelwait MD Ps is a Dermatology Physician in Mount Vernon, Washington. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1420 Roosevelt Ave Ste 7Mount Vernon, WA 98273-2687
Phone: (360) 424-4186
Fax: (360) 428-0927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1114950375 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | J Mickelwait — Owner · (360) 424-4186 |
| Other names | Advanced Dermatology And Skin Renewal Center |
| NPI enumerated | July 9, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1420 Roosevelt Ave, Suite 7, Mount Vernon, WA 98273-2687 |
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J Semmes Mickelwait, MD
1420 Roosevelt Ave Ste 7, Mount Vernon, WA 98273-2687 · (360) 424-4186