Mr. Tracy D. Mickelsen, CSFA
Mr. Tracy D. Mickelsen, CSFA is a Surgical Physician Assistant in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
3015 E Magic View DrMeridian, ID 83642-3743
Phone: (208) 855-2410
Fax: (208) 482-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 178692 (ID) |
|---|
Record details
| NPI number | 1801073655 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSFA |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2008 |
| Last updated in NPPES | December 7, 2017 |
| Mailing address | 3015 E Magic View Dr, Meridian, ID 83642-3743 |
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Mrs. April D. West, PA
3015 E Magic View Dr, Meridian, ID 83642-3743 · (208) 855-2410