Individual
JOHN F VICKERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6845 LEE AVE N, MAIL STOP 31400A, BROOKLYN CENTER, MN 55428-1717
(763) 569-0300
(763) 569-0330
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42467
MN
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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