Individual
DR. MICHAEL F SANCILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3793
(612) 596-0841
Mailing address
1221 COUNTY ROAD C2 W, ROSEVILLE, MN 55113-1820
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2018
MN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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