CHAD MICKELSON

SAINT CLOUD, MN
NPI1902562382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  11320)
Enumeration Date2021-11-10
Last Update Date2021-11-10
Business Address
CHAD MICKELSON DPT
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
Mailing Address
CHAD MICKELSON DPT
18425 BROWNS LAKE RD
RICHMOND, MN 56368-8567
Phone number: 360-320-8328