Individual
ALICIA LYNN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 297, 500 BOYNTON HEALTH SERVICE BRIDGE, MINNEAPOLIS, MN 55455-0341
(612) 626-4913
Mailing address
420 DELAWARE ST SE, MMC 297, 500 BOYNTON HEALTH SERVICE BRIDGE, MINNEAPOLIS, MN 55455-0341
(612) 626-4913
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD61066661
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
10/02/2020
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