NPI 1184658858

Mark D Miceli, MD

Practitioner Psychiatry Physician Coon Rapids, MN

Practice location

Address: 4050 Coon Rapids Blvd NW, Coon Rapids, MN 55433-2522
Phone: (612) 262-1220
Mailing address: 114 W 7th St STE 900, Austin, TX 78701-3013

Registered specialties (4)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 64833 (MN)

Other Psychiatry & Neurology providers in Minnesota →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 2017034370 (MO)

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 25MA07643400 (NJ)

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 308-320 (WI)

Registry record

NPI: 1184658858
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 14 Oct 2019

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.