Individual
MICHAEL PICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
30 FAIRVIEW AVE S STE 200, SAINT PAUL, MN 55105-1463
(877) 609-0123
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11124
MN
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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