NPI 1811944309

J Semmes Mickelwait, MD

Practitioner Dermatology Physician Mount Vernon, WA

Practice location

Address: 1420 Roosevelt Ave Suite 7, Mount Vernon, WA 98273-2687
Phone: (360) 424-4186
Fax: (360) 428-0927

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD00013676 (WA)

Other Dermatology providers in Washington →

Registry record

NPI: 1811944309
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 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.