DENNIS L. MICKLESON M.D. – NPI #1619388600
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

DENNIS MICKLESON is a physician located in PALMER, AK. NPPES has assigned the NPI number 1619388600 to DENNIS MICKLESON on May 13, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DENNIS MICKLESON below.

NPI Profile for
DENNIS L. MICKLESON

NPI Number
1619388600
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DENNIS L. MICKLESON
Credentials
M.D.
Primary location
8220 GOLD BULLION BLVD
PALMER, AK 99645
Phone: (907) 745-0832 Fax: (907) 745-0832
Mailing address
PO BOX 2863
PALMER, AK 99645-2863
Phone: (907) 745-0832 Fax: (907) 745-0832
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
AK AA2638

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.