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Individual

MICHAEL R NOONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
106 5TH ST S, WALKER, MN 56484-1123
(218) 547-1900
(218) 547-3913
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1786
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1786
PHYSICAL THERAPY
AZ
Enumeration date
09/26/2006
Last updated
10/05/2022
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