Individual
KYLE BRADLEY FLIKKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5601 96TH AVE N STE 200, BROOKLYN PARK, MN 55443-4505
(763) 786-9543
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
321912
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
76795
MN
Other
Enumeration date
06/16/2018
Last updated
06/25/2024
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