Individual
MR. DANIEL ERIC MILEJCZAK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
400 BROADWAY AVE N, FOLEY, MN 56329-8794
(320) 968-4677
Mailing address
400 BROADWAY AVE N, PO BOX 416, FOLEY, MN 56329-8794
(320) 968-4677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5974
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065M7FO
BLUE CROSS BLUE SHIELD
MN
01
—
1031097
PREFERRED ONE
MN
05
—
135143500
—
MN
01
—
169330
UCARE
MN
01
—
7312142
AETNA
MN
01
—
84508
HEALTH PARTNERS
MN
Enumeration date
09/29/2005
Last updated
07/20/2010
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