Individual
MICHELLE MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 ARLINGTON AVE W, SAINT PAUL, MN 55117-3504
(651) 328-7312
Mailing address
565 ARLINGTON AVE W, SAINT PAUL, MN 55117-3504
(651) 328-7312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5294
MN
111NR0200X
Radiology Chiropractor
5294
MN
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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