Michael Vidana
NPI #1689346801 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1689346801
- Entity Type
- Individual
- Name
- Michael Vidana
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 5, 2021
- Last Updated
- Oct 5, 2021
Practice Location
- Address
- 1715 TOWER DR W STE 100
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-7609
- Phone
- (651) 390-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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