Matthew A. Mickelson
Family NP · Deforest, WI
UnclaimedNPI 1942907647
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2023-02-13
- Practice location
- Deforest, WI
- Last NPPES update
- 2023-09-12
State licenses
- WI · Nurse practitioner · NPPES self-reportedListed on NPI record
- WI · Nurse practitioner · NPPES self-reportedListed on NPI record
“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.