Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 50365 | KY |
Y | 2080P0203X | Pediatric Critical Care Doctor | 16608 | ND |
NPI | 1114361144 |
---|---|
Provider Name | Dr. Calsey Mischel |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Bismarck, ND 58501-4439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2013 |
Last Update Date | 25/09/2020 |