Philip M. Micksch, NP

Nurse Practitioner · Two Rivers, WI

Individual Active NPI

NPI number 1669832887

Practice location

5300 Memorial Dr
Suite 303
Two Rivers, WI 54241-3923
Phone
(920) 793-6550
Fax
(920) 793-6551

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NPI record

NPI
1669832887
Entity type
Individual (Type 1)
Enumeration date
March 1, 2016
Last updated
April 23, 2020
Certified
April 23, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 6871-33 WI
Family Nurse Practitioner 363LF0000X 6871 - 33 WI

About Philip Micksch

Philip M. Micksch, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 5300 Memorial Dr, Suite 303, Two Rivers, WI 54241-3923. The NPI number 1669832887 was assigned on March 1, 2016 and the record was last updated on April 23, 2020.

Philip Micksch lists 2 licenses in the registry: #6871-33 (WI) for Nurse Practitioner; #6871 - 33 (WI) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Philip M. Micksch, NP?

The NPI number is 1669832887.

What is the phone number of Philip Micksch?

The phone number listed for the practice location is (920) 793-6550.

Where is Philip Micksch located?

5300 Memorial Dr, Suite 303, Two Rivers, WI 54241-3923.

What is the taxonomy code for Philip Micksch?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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