MR. Tracy D. Mickelsen, CSFA is a surgical physician assistant in Meridian, ID. MR. Tracy D. Mickelsen, CSFA NPI is 1801073655. 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:
3015 E MAGIC VIEW DR
MERIDIAN, ID
ZIP 83642-743
Phone: (208) 855-2410
Fax: (208) 482-5515
The enumeration date for this NPI number is 1/23/2008 and was last updated on 12/7/2017.