Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tommy Mikkelsen, MD

Individual provider Neurological Surgery Physician · NPI 1306911045

Dr. Tommy Mikkelsen, MD is a Neurosurgery in Detroit, Michigan. Qualified in 1983, 43 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
43
Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd 2799 West Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 4301062472 (MI)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 062472 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence 4301062472 (MI)

Record details

NPI number1306911045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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