Individual
MIKE VIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
616 ATLANTIC AVE, MORRIS, MN 56267-1380
(320) 585-5395
(320) 839-4196
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 830-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0736
SD
225100000X
Physical Therapist
Primary
7202
MN
Other
Enumeration date
07/04/2006
Last updated
03/25/2010
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