Individual
THEODORE ANDREW MICLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-2208
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80266
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
80266
MN
Other
Enumeration date
03/20/2023
Last updated
08/01/2025
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