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Individual

MICHAEL FRICKE

Active
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Individual

MICHAEL FRICKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

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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