MR. Nathan James Mickelson is a student in an organized health care education training program in Columbus, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Nathan James Mickelson NPI is 1114194230. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5100 W BROAD ST
COLUMBUS, OH
ZIP 43228-607
Phone: (614) 544-2089
The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.