Individual
ANTHONY MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 857-1554
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101022980
MI
207P00000X
Emergency Medicine Physician
5151010487
MI
207P00000X
Emergency Medicine Physician
Primary
67399
MN
Other
Enumeration date
02/17/2017
Last updated
06/19/2020
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