Male or Other

Dr. Michael K. Mikkelson MD

Family Medicine Physician in Bluffton, SC(View on Map)

Full Name

Dr. Michael K Mikkelson MD

NPI Number

1972561496

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/03/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

South Carolina

License Number

15315

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2599
181 BLUFFTON RD BLDG G101G102

City

Bluffton
Bluffton

State

SC
SC

Postal Code

29910-2599
29910-6221

Country

US
US

Telephone Number

(843) 757-5400
(843) 757-5400

Identifiers

Identifier

153157

Identifier State

SC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/18/2013

Provider Address

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