| Susan F Mickel, MD, PHD | |
|
1717 Taylor Ave, Racine, WI 53403-2405 | |
| (262) 638-6744 | |
| (262) 638-6540 |
| Full Name | Susan F Mickel |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1717 Taylor Ave, Racine, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356441018 | NPI | - | NPPES |
| 1356441018 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 28735 (Wisconsin) | Primary |
| 103T00000X | Psychologist | 3113-57 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan F Mickel, MD, PHD 1717 Taylor Ave, Racine, WI 53403-2405 Ph: (262) 638-6744 | Susan F Mickel, MD, PHD 1717 Taylor Ave, Racine, WI 53403-2405 Ph: (262) 638-6744 |
William James Bjerregaard, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403 Phone: 262-635-5520 Fax: 262-635-5530 | |
Mary Inez Nunchuck, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-638-6744 Fax: 262-638-6540 | |
Stephen J. Pagano, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3805b Spring St, Suite 320, Racine, WI 53405 Phone: 262-687-8322 Fax: 262-687-6107 | |
Nicholas Wittry, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-5600 | |
Dr. Vahag Vartanian, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222 Fax: 262-687-2495 | |
Byung H. Park, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Ste 320, Racine, WI 53405 Phone: 262-687-8322 |