Individual
MR. MICHAEL W. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 OPTUM CIR, EDEN PRAIRIE, MN 55344-2956
(800) 561-0861
Mailing address
1 OPTUM CIR, EDEN PRAIRIE, MN 55344-2956
(800) 561-0861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22703
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5894
—
SC
Enumeration date
04/17/2019
Last updated
04/01/2026
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