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Search › Minnesota › 103TC1900X

Matthew Mikesell, PHD, CMPC

NPI 1679274997 · on the registry since 2023

Practice

Address
7401 Metro Blvd Ste 510
Edina, MN 55439
Phone
(952) 835-8513
Organisation at this address
Bewell
Awaken Life Chiropractic, Llc
Premier Sport Psychology, Pllc
Minneapolis Radiation Oncology Pa
Affinity Psychological Services, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-14

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