Philip Robert Mic, PA-C

NPI #1386458271 in Edina, Minnesota

Provider Information

NPI Number: 1386458271
Entity Type: Individual
Name: Philip Robert Mic, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 3, 2025
Last Updated: Feb 3, 2025

Practice Location

Address: 6405 FRANCE AVE S STE W200
City: Edina
State: Minnesota
ZIP Code: 55435-2186
Phone: (612) 365-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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