Individual
CHARLES MICHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1433 E FRANKLIN AVE, STE 1, MINNEAPOLIS, MN 55404-2101
(612) 294-1306
Mailing address
20993 HOLIDAY AVE, LAKEVILLE, MN 55044-9803
(763) 225-7711
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
209223-6
MN
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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