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General NPI Number Information
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NPI Number | 1134355209
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Entity Type | Individual
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Provider Name | ERIK R MIKKELSEN CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 816 WESTBRIDGE TRL
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City | WAUNAKEE
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State | WI
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Zip | 53597-8970
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Country | US
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Telephone | 608-865-0971
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Fax |
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Provider Business Mailing Address
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Address Line | 816 WESTBRIDGE TRL
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City | WAUNAKEE
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State | WI
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Zip | 53597-8970
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Country | US
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Telephone | 608-865-0971
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95000103
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 14871-33
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License Number State | WI
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