Individual
JOHN ELLIOTT SELICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 955-6311
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 955-6311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55163
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
55163
MN
207RP1001X
Pulmonary Disease Physician
55163
MN
208M00000X
Hospitalist Physician
55163
MN
Other
Enumeration date
07/14/2009
Last updated
09/15/2023
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