NPI 1316629223

Brian Mikkelson, PAC

Practitioner Trauma Surgery Physician Wheat Ridge, CO

Practice location

Address: 8300 W 38th Ave, Wheat Ridge, CO 80033-6005
Phone: (303) 425-4500
Mailing address: 150 Enchanted Rd, Golden, CO 80401-8803

Registered specialties

Trauma Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence PA.0008067 (CO)

Other Surgery providers in Colorado →

Registry record

NPI: 1316629223
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2023
Record last updated: 1 Aug 2023

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.