Mr. Charles Glen Mickelson

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Charles Glen Mickelson
Gender:	M
Provider License Number If Given:

NPI Information:

NPI:	1568773679
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/24/2010
Last Update Date:	11/9/2010

Provider Business Mailing Address:

Address:	423 12TH AVE. NORTH South St. Paul,, MN 55075
Phone Number:	6512917000
Fax Number:

Provider Business Practice Location Address:

Address:	423 12TH AVE. NORTH South St. Paul,, MN 55075
Phone Number:	6512917000
Fax Number:

Provider Taxonomy:

Primary:	224L00000X
Secondary (if any):
State:	MN

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About Mr. Charles Glen Mickelson

Mr. Charles Glen Mickelson (MR. CHARLES GLEN MICKELSON ) is An Pedorthist Physician in South St. Paul,, MN. The NPI Number for Mr. Charles Glen Mickelson is 1568773679.

The current location address for Mr. Charles Glen Mickelson is 423 12TH AVE. NORTH South St. Paul,, MN 55075 and the contact number is 6512917000 and fax number is . The mailing address for Mr. Charles Glen Mickelson is 423 12TH AVE. NORTH South St. Paul,, MN 55075- 6512917000 (mailing address contact number - 6512917000).

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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Charles Glen Mickelson ?

Answer: The NPI Number for Mr. Charles Glen Mickelson is 1568773679

Where is Mr. Charles Glen Mickelson located?

Answer: Mr. Charles Glen Mickelson is located at 423 12TH AVE. NORTH South St. Paul,, MN 55075.

What is the specialty for Mr. Charles Glen Mickelson ?

Answer: The Specialty of Mr. Charles Glen Mickelson is An Pedorthist Physician.

Are there any online reviews for Mr. Charles Glen Mickelson ?

Answer: Not yet!

Are there any other health care providers in South St. Paul,, MN?

Answer: Yes, there are given below...

More Providers in South St. Paul, , MN

Mr. Charles Glen Mickelson
Pedorthist
NPI Number: 1568773679
Address: 423 12TH AVE. NORTH South St. Paul,, MN 55075 , Phone: 6512917000