SUSAN F MICKEL M.D. PH.D. NPI 1356441018

NPI Information

  • NPI: 1356441018
  • Provider Name: SUSAN F MICKEL, M.D., PH.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 1717 TAYLOR AVE
    RACINE, WI
    ZIP 53403
  • Phone: (262) 638-6744

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NPI Details

Susan F Mickel, M.D., PH.D. is a neurology psychiatry neurology in Racine, WI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Susan F Mickel, M.D., PH.D. NPI is 1356441018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1717 TAYLOR AVE
RACINE, WI
ZIP 53403-405
Phone: (262) 638-6744
Fax: (262) 638-6540

The enumeration date for this NPI number is 9/23/2006 and was last updated on 8/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist3113-57WISCONSINNo
22084N0400XPsychiatry & NeurologyNeurology28735WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021572200MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
2B55084MEDICARE UPIN
3322500129MEDICARE PINWISCONSIN
41356441018MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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