Search › Minnesota › 224L00000X
Charles Mickelson, C.PED
NPI 1568773679 · on the registry since 2010 · sole proprietor
Practice
- Address
- 423 12th Ave. North
South St. Paul,, MN 55075 - Phone
- (651) 291-7000
Registry record
- Primary taxonomy
- 224L00000X
224L00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-09
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