MEDICARE: DR. TIMOTHY J MICKEL M.D., F.A.C.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	016654	LA

General Provider Information

NPI Number	:	1124198171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY J MICKEL M.D., F.A.C.S.

Provider Business Mailing Address
First Line	:	1404 EMERSON
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201
Country	:	US
Telephone Number	:	318-387-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	903 N 2ND ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-5837
Country	:	US
Telephone Number	:	318-388-2050
Fax Number	:	318-325-3740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1437634789 — KASEY GOODMAN BURKS APRN, FNP-C
Practice Location Address:

903 N 2ND ST
MONROE, LA
71201-5837

Practice Phone: 318-388-2050
Practice Fax:

1891381901 — JUDITH ALICE EUGENE
Practice Location Address:

2 VAN BUREN DR
MONROE, NY
10950-5837

Practice Phone: 845-782-7700
Practice Fax:

1407435506 — MARIA GULDAN
Practice Location Address:

2 VAN BUREN DR
MONROE, NY
10950-5837

Practice Phone: 845-782-7700
Practice Fax:

1053206813 — DHRUV NIHAL GANDHI
Practice Location Address:

309 JACKSON ST
MONROE, LA
71201

Practice Phone: 318-966-4000
Practice Fax:

1902752009 — ETHAN ROBERT SNOWDEN
Practice Location Address:

1501 LOUISVILLE AVE
MONROE, LA
71201-6025

Practice Phone: 318-323-8451
Practice Fax:

1063697019 — MRS. DETRIA S JENKINS
Practice Location Address:

617 N 2ND ST
MONROE, LA
71201-6235

Practice Phone: 318-387-3545
Practice Fax: 318-387-3541

Directions to “ DR. TIMOTHY J MICKEL M.D., F.A.C.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.