Individual
PATRICK MICHIELUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
18425 DODD BLVD, LAKEVILLE, MN 55044-9019
(952) 985-8800
Mailing address
18425 DODD BLVD, LAKEVILLE, MN 55044-9019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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