SIMON LEO LICK

GRAND RAPIDS, MN
NPI1922238823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MN  54954)
Enumeration Date2009-07-26
Last Update Date2018-09-20
Business Address
Dr. SIMON LEO LICK M.D.
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-3401
Mailing Address
Dr. SIMON LEO LICK M.D.
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744-8648
Phone number: 218-326-3401