Individual
DR. GARY D VIKESLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10700 OLD COUNTY ROAD 15 STE 170, PLYMOUTH, MN 55441-8709
(763) 525-8590
(763) 525-8592
Mailing address
10700 OLD COUNTY RD 15, SUITE 170, PLYMOUTH, MN 55441
(763) 525-8590
(763) 525-8592
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP3160
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069523800
—
MN
Enumeration date
08/26/2005
Last updated
01/17/2024
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