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Individual

BRIAN SICK

Active
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Individual

BRIAN SICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44393
MN
208000000X
Pediatrics Physician
44393
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074205
MT
01
04-00123
MEDICA PRIMARY
MN
01
04-07057
MEDICA CHOICE
MN
05
088457000
MN
01
1030261
PREFERRED ONE
MN
01
132152
UCARE
MN
01
1576345
ARAZ
MN
01
612R5SI
BLUE CROSS BLUE SHIELD MN
MN
01
HP38101
HEALTH PARTNERS
MN
Enumeration date
10/19/2006
Last updated
02/12/2013
Update your record

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