Individual
MICHAEL FRICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
27 MARCIN HL, BURNSVILLE, MN 55337-4012
(952) 891-2645
Mailing address
27 MARCIN HL, BURNSVILLE, MN 55337-4012
(952) 891-2645
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012293
PREFERRED ONE
MN
01
—
264019500
US DEPT OF LABOR
MN
01
—
6407997
MEDICA-UNITED HEALTHCARE
MN
01
—
7G667PR
MN BCBS
MN
Enumeration date
07/30/2006
Last updated
09/28/2011
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