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General NPI Number Information
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NPI Number | 1881574291
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Entity Type | Individual
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Provider Name | WILLIAM ROSS MIKESELL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 7250 CLEARVISTA DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4692
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Country | US
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Telephone | 317-621-1642
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Fax |
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Provider Business Mailing Address
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Address Line | 13125 N US OLD ROUTE 31
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City | MACY
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State | IN
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Zip | 46951
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Country | US
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Telephone | 260-330-2751
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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 | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 26030443A
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License Number State | IN
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