Individual
MR. MICHAEL JOHN LANDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, LP
Contact information
Practice address
6425 NICOLLET AVE, RICHFIELD, MN 55423-1675
(612) 861-1675
(612) 861-3446
Mailing address
6425 NICOLLET AVE, RICHFIELD, MN 55423-1675
(612) 861-1675
(612) 861-3446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3917
MN
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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