Individual
MICHAEL PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
414 W JEFFERSON AVE, MAHNOMEN, MN 56557-4912
(763) 689-5385
Mailing address
409 1ST ST SW, MAHNOMEN, MN 56557-4719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6678
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44G97PA
BCBS
MN
01
—
6402135
MEDICA
MN
01
—
HP45864
HEALTH PARTNERS
MN
Enumeration date
09/29/2006
Last updated
07/09/2007
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