Charles Lick, MD Valid NPI
Individual provider · Emergency Medicine Physician · Buffalo, MN
- NPI
- 1366419525
- Type
- Individual (Type 1)
- Primary specialty
- Emergency Medicine Physician (Emergency Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207P00000X
- License number
- 31933 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-07
- Last updated
- 2010-03-22
Practice location
303 Catlin St, Buffalo Hospital
Buffalo, MN 55313
(763) 684-7500