Individual
DR. ALEXANDER MICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5766 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1624
(651) 457-6686
Mailing address
137 WARWICK ST SE, MINNEAPOLIS, MN 55414-3620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13065
MN
Other
Enumeration date
05/04/2012
Last updated
05/17/2012
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