Individual
DR. ANTHONY CHARLES MICHELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2112 VIKING DR NW, ROCHESTER, MN 55901-3522
(507) 288-1338
Mailing address
1408 WILSHIRE WOODS LN NE, ROCHESTER, MN 55906-6917
(507) 281-8199
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
07829
MN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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