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Individual

MICHAEL J TSCHIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
1405 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-9301
(651) 633-4532
(651) 633-9311
Mailing address
1405 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-9301
(651) 633-4532
(651) 633-9311

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302211
MN

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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