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IndividualActiveMedicare EnrolledCan Order/Refer

Michael Charles Lick

Physician Assistant

NPI: 1023793932Bloomington, Minnesota, 55435(457) 495-2767Male

About Michael Charles Lick

Michael Charles Lick is a male healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1023793932. Their primary practice is located at 4300 MARKET PTE DR STE 100, Bloomington, Minnesota 55435.

Patients can reach the office at (457) 495-2767. Michael Charles Lick is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Michael Charles Lick has been NPI-registered since 2023.

Doctor Details

Identity & Credentials

NPI Number
1023793932
Entity Type
Individual
First Name
Michael
Last Name
Lick
Gender
Male
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
4300 MARKET PTE DR STE 100
City
Bloomington
State
Minnesota
ZIP
55435-5435
Country
United States
Phone
(457) 495-2767

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
115 W 5TH ST # 2
City
DULUTH
State
MN
ZIP
558062729

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Michael Charles Lick's NPI number?
Michael Charles Lick's National Provider Identifier (NPI) is 1023793932. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Michael Charles Lick specialize in?
Michael Charles Lick specializes in Physician Assistant.
Where is Michael Charles Lick located?
Michael Charles Lick practices at 4300 MARKET PTE DR STE 100, Bloomington, Minnesota 55435. You can reach them by phone at (457) 495-2767.
Does Michael Charles Lick accept Medicare?
Yes, Michael Charles Lick is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Michael Charles Lick offer telehealth or virtual visits?
Michael Charles Lick does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Michael Charles Lick is 1023793932.