FAITH LORRAINE LIEDHOLM MATSCH HICKS

CAMBRIDGE, MN
NPI1346934973
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN  10310)
Enumeration Date2023-06-06
Last Update Date2023-11-15
Business Address
FAITH LORRAINE LIEDHOLM MATSCH HICKS NP
701 DELLWOOD ST S
CAMBRIDGE, MN 55008-1923
Phone number: 763-689-7700
Mailing Address
FAITH LORRAINE LIEDHOLM MATSCH HICKS NP
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-2233