IndividualActive
Timothy Mickel, M.D., F.A.C.S.
NPI 1124198171 · Plastic Surgery Physician · Monroe, LA
Provider details
- NPI number
- 1124198171
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., F.A.C.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 016654 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
903 N 2nd St
Monroe, LA 71201-5837
Phone: (318) 388-2050
Fax: (318) 325-3740
Approximate (ZIP-level) locationGet directions
Mailing address
1404 Emerson
Monroe, LA 71201
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.