Individual
BENJAMIN MICHALICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
272 SNELLING AVE S STE 300, SAINT PAUL, MN 55105-2829
(651) 369-7833
(651) 560-5732
Mailing address
272 SNELLING AVE S STE 300, SAINT PAUL, MN 55105-2829
(651) 369-7833
(651) 560-5732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3802
MN
152W00000X
Optometrist
3969
WI
Other
Enumeration date
03/31/2021
Last updated
04/13/2026
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