Individual
MIKE DIXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7000
(952) 456-7001
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 520-7870
(952) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6119
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176P7DI
BC INDIV PROV ID
MN
05
—
610990000
—
MN
01
—
6405738
MEDICA INDIV PROV ID
FM
Enumeration date
04/13/2006
Last updated
11/09/2017
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