Michael J. Micksch, RPH

Pharmacist · Brillion, WI

Individual Active NPI

NPI number 1730421710

Practice location

1010 W Ryan St
Brillion, WI 54110-1079
Phone
(920) 756-2640
Fax
(920) 756-9262

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NPI record

NPI
1730421710
Entity type
Individual (Type 1)
Enumeration date
March 18, 2013
Last updated
March 18, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 10271 WI

Mailing address

6428 Arabian Way
Two Rivers, WI 54241-8970
Phone
(920) 686-3740

About Michael Micksch

Michael J. Micksch, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1010 W Ryan St, Brillion, WI 54110-1079. The NPI number 1730421710 was assigned on March 18, 2013 and the record was last updated on March 18, 2013.

Michael Micksch lists a license in the registry: #10271 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Micksch, RPH?

The NPI number is 1730421710.

What is the phone number of Michael Micksch?

The phone number listed for the practice location is (920) 756-2640.

Where is Michael Micksch located?

1010 W Ryan St, Brillion, WI 54110-1079.

What is the taxonomy code for Michael Micksch?

The primary taxonomy code is 183500000X – Pharmacist.

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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