Thomas Frederick Micka is a New Brighton, Minnesota based psychiatrist who is specialized in Child & Adolescent. Active license number of Thomas Frederick Micka is 30490 for Child & Adolescent in Minnesota. His current practice location is 1900 Silver Lake Rd Nw, Suite 110, New Brighton. Patients can reach him at 651-628-9566. Thomas Frederick Micka is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1861588873. Thomas Frederick Micka has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Thomas Frederick Micka speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Thomas Frederick Micka
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
MD
Practice Address:
1900 Silver Lake Rd Nw, Suite 110, New Brighton, Minnesota, 55112-1786
Phone:
651-628-9566
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861588873
NPI Enumeration Date:
05 Oct, 2006
NPI Last Update On:
30 Dec, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Frederick Micka are as mentioned below.
License Number
Specialization
State
Status
30490
Child & Adolescent
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Thomas Frederick Micka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
338380600
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Thomas Frederick Micka 1900 Silver Lake Rd Nw, Suite 110 New Brighton, Minnesota
Zip:
55112-1786
Phone Number:
651-628-9566
Patients can reach Thomas Frederick Micka at 1900 Silver Lake Rd Nw, Suite 110, New Brighton, Minnesota or can call to book an appointment on 651-628-9566.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.