Michael Charles Lick
Physician Assistant · Bloomington, MN
Practice location
4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435
- Phone
- (457) 495-2767
NPI record
- NPI
- 1023793932
- Entity type
- Individual (Type 1)
- Enumeration date
- June 19, 2023
- Last updated
- January 13, 2025
- Certified
- January 13, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
Mailing address
115 W 5TH St # 2Duluth, MN 55806-2729
- Phone
- (612) 708-8024
About Michael Lick
Michael Charles Lick is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435. The NPI number 1023793932 was assigned on June 19, 2023 and the record was last updated on January 13, 2025.
Frequently asked questions
What is the NPI number of Michael Charles Lick?
The NPI number is 1023793932.
What is the phone number of Michael Lick?
The phone number listed for the practice location is (457) 495-2767.
Where is Michael Lick located?
4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435.
What is the taxonomy code for Michael Lick?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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