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

Individual provider Physician Assistant · NPI 1255335725

Randy J Mickelson, PA is a Physician Assistant in Viroqua, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

407 S Main St
Viroqua, WI 54665-2100
Phone: (608) 637-3195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 528 (WI)

Record details

NPI number1255335725
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESMarch 23, 2016

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