Search › Minnesota › 103TC0700X
Micah Prairie Chicken, PHD, LP
NPI 1518640473 · on the registry since 2023
Practice
- Address
- 2101 Minnehaha Ave
Minneapolis, MN 55404 - Phone
- (612) 721-9877
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota