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1366419525
CHARLES LICK
BUFFALO, MN
NPI
1366419525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MN 31933)
Enumeration Date
2006-03-07
Last Update Date
2010-03-22
Business Address
-- CHARLES LICK MD
303 CATLIN ST BUFFALO HOSPITAL
BUFFALO, MN 55313
Phone number: 763-684-7500
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Mailing Address
-- CHARLES LICK MD
5435 FELTL RD
MINNETONKA, MN 55343-7983
Phone number: 952-835-9880
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