NPI 1124198171

Timothy J Mickel, MDFACS

Practitioner Plastic Surgery Physician Monroe, LA

Practice location

Address: 903 N 2nd St, Monroe, LA 71201-5837
Phone: (318) 388-2050
Fax: (318) 325-3740
Mailing address: 1404 Emerson, Monroe, LA 71201

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 016654 (LA)

Other Plastic Surgery providers in Louisiana →

Registry record

NPI: 1124198171
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.