Individual
BRIAN SICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE STREET SE, PWB THIRD FLOOR CLINIC 3A, MINNEAPOLIS, MN 55455
(612) 624-9499
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414-2924
(612) 884-0649
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
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