Thomas Mikkelson, MD
Internal Medicine · East Saint Louis, IL
UnclaimedMDNPI 1881708410
- Primary taxonomy
- 207R00000X
- Enumerated
- 2006-08-19
- Practice location
- East Saint Louis, IL
- Last NPPES update
- 2007-07-09
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONExpiredthrough 2020
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.