Individual
DR. TIMOTHY JOHN MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
565 ARLINGTON AVE W, SAINT PAUL, MN 55117-3504
(651) 487-2429
Mailing address
565 ARLINGTON AVE W, SAINT PAUL, MN 55117-3504
(651) 487-2429
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
2731
MN
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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