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Michael Charles Lick
Student in an Organized Health Care Education/Training Program in Duluth, Minnesota
NPI 1023793932

Michael Charles Lick is a Student in an Organized Health Care Education/Training Program based in Duluth, MN. Michael Charles Lick practices in Duluth, MN. The NPI Number for Michael Charles Lick is 1023793932 and holds a License No. (Minnesota).

The current practice location address for Michael Charles Lick is 115 W 5Th St # 2, Duluth, MN and can be reached out via phone at 612-708-8024.

Location: 115 W 5Th St # 2, Duluth, MN, 55806-2729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023793932
Provider Name
Michael Charles Lick
Credential
Provider Entity Type
Individual
Gender
Male
Address
115 W 5Th St # 2, Duluth, MN, 55806-2729
Phone Number
612-708-8024
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 W 5Th St # 2
City
Duluth
State
Minnesota
Zip
55806-2729
Phone Number
612-708-8024
Fax Number
person
Provider Business Mailing Address Details
Address
115 W 5Th St # 2
City
Duluth
State
Minnesota
Zip
55806-2729
Phone Number
612-708-8024
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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