Individual
MICHAEL BACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
400 EAST FIRST STREET, MORRIS, MN 56267-0660
(320) 589-1313
(320) 589-3533
Mailing address
PO BOX 660, 400 EAST FIRST STREET, MORRIS, MN 56267-0660
(320) 589-1313
(320) 589-3533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3252
MN
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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