Provider Demographics
NPI:1275505505
Name:APPEL, MIKKA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MIKKA
Middle Name:MICHELLE
Last Name:APPEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3740 UTICA RIDGE RD
Mailing Address - Street 2:STE B
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1624
Mailing Address - Country:US
Mailing Address - Phone:563-344-7400
Mailing Address - Fax:563-359-9395
Practice Address - Street 1:3740 UTICA RIDGE RD
Practice Address - Street 2:STE B
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1624
Practice Address - Country:US
Practice Address - Phone:563-344-7400
Practice Address - Fax:563-359-9395
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036107432207Q00000X
IA34195207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
090042OtherHEALTH ALLIANCE
IL036-107432Medicaid
P00352546OtherMEDICARE RAILROAD
IA03872OtherBCBS
IA34195OtherLIC
IL8122900OtherBCBS GROUP NUMBER
IL036107432OtherLIC
IA2215327Medicaid
090042OtherHEALTH ALLIANCE
ILK46571Medicare PIN
IAI17247Medicare PIN