Individual
NATHAN MICHAEL WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 559-3779
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 559-3779
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
73518
MN
208VP0000X
Pain Medicine Physician
73518
MN
Other
Enumeration date
06/25/2019
Last updated
08/11/2025
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