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Individual

LINDA LOU WICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
(612) 775-3199
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2777
MN
363LG0600X
Gerontology Nurse Practitioner
R 1037577
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43944900
WI
05
569525200
MN
Enumeration date
07/18/2006
Last updated
05/06/2026
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