Individual
ALYCIA R MIDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12000 ELM CREEK BLVD N STE 250, MAPLE GROVE, MN 55369-7164
(952) 401-8300
(952) 401-8242
Mailing address
17705 HUTCHINS DR STE 250, MINNETONKA, MN 55345-4103
(952) 401-8300
(952) 401-8242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
76573
MN
Other
Enumeration date
04/19/2021
Last updated
07/18/2024
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