DANIEL G MICKELSON MD
NPI 1215954854
Radiology - Vascular & Interventional Radiology in Fargo, ND

Active since July 17, 2006
737 BROADWAY, FARGO, ND 58122(701) 234-2000(701) 234-7332 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel G Mickelson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL G MICKELSON MD (NPI 1215954854) is an individual vascular & interventional radiology provider in Fargo, North Dakota, licensed in North Dakota (5819) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1215954854
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDANIEL G MICKELSONCredential: MD
Location Address737 BROADWAYFargo, ND 58122-0001
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(701) 234-7332
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
NPI 1215954854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in ND · 5819
Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 5819 (ND)
737 BROADWAY, Fargo, ND 58122

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
737 BROADWAY
FARGO, ND 58122
Radiology (Diagnostic Radiology)
737 BROADWAY
FARGO, ND 58122
Pediatrics
737 BROADWAY
FARGO, ND 58122
Internal Medicine (Nephrology)
737 BROADWAY
FARGO, ND 58122
Nurse Anesthetist, Certified Registered
737 BROADWAY
FARGO, ND 58122
Internal Medicine (Endocrinology, Diabetes & Metabolism)
737 BROADWAY
FARGO, ND 58122
Nurse Anesthetist, Certified Registered
737 BROADWAY
FARGO, ND 58122
Dietitian, Registered
737 BROADWAY
FARGO, ND 58122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Mickelson's NPI number?

The NPI number for Daniel Mickelson is 1215954854. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Daniel Mickelson located?

Daniel Mickelson practices at 737 Broadway, Fargo, ND 58122. The listed phone number is (701) 234-2000.

What is Daniel Mickelson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Daniel Mickelson was last updated on February 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.