Mr. Charles Glen Mickelson, CPED - South St. Paul,, MN

Mr. Charles Glen Mickelson, CPED

Pedorthist in South St. Paul,, Minnesota

NPI 1568773679

Charles Glen Mickelson is a Pedorthist based in South St. Paul,, MN. Charles Glen Mickelson practices in South St. Paul,, MN and has the professional credentials of CPED. The NPI Number for Charles Glen Mickelson is 1568773679 and holds a License No. (Minnesota).

The current practice location address for Charles Glen Mickelson is 423 12Th Ave. North, South St. Paul,, MN and can be reached out via phone at 651-291-7000.

Location: 423 12Th Ave. North, South St. Paul,, MN, 55075-1915

NPI Number

1568773679

Provider Name

Charles Glen Mickelson

Credential

CPED

Provider Entity Type

Individual

Gender

Male

Address

423 12Th Ave. North, South St. Paul,, MN, 55075-1915

Phone Number

651-291-7000

Fax Number

Provider Enumeration Date

06/24/2010

Last Update Date

03/09/2024

Address

423 12Th Ave. North

City

South St. Paul,

State

Minnesota

Zip

55075-1915

Phone Number

651-291-7000

Fax Number

Address

423 12Th Ave. North

City

South St. Paul,

State

Minnesota

Zip

55075-1915

Phone Number

651-291-7000

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Pedorthist

Speciality

Taxonomy

224L00000X

License No.

(Minnesota)

Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

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