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

Mitchell Daniel Gullickson, MD

Individual provider Dermatology Physician · NPI 1689415903

Mitchell Daniel Gullickson, MD is a Dermatology in Rochester, Minnesota. Graduated from University of North Dakota School of Medicine in 2024, 2 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Trained at
University of North Dakota School of Medicine
Licensed in
MN
In the registry since
2024
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

200 1st St SW
Rochester, MN 55905-7927
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5225 23rd Ave S, Fargo, ND 58104-7927 — (701) 234-5933

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 80448 (MN)

Record details

NPI number1689415903
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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