Individual provider · Type 1 NPI

Brian J. De Michaelis, MD

Diagnostic Radiology Physician · Robbinsdale, MN

NPI number 1891795928 Active

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Call (763) 559-2171 Map

Fax (763) 694-9000

Mailing address

2800 Campus Dr, #10
Plymouth, MN 55441-2645

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X42494 (MN)
Body Imaging Physician 2085B0100X42494 (MN)
Diagnostic Ultrasound Physician 2085U0001X42494 (MN)
Neuroradiology Physician 2085N0700X42494 (MN)
Nuclear Radiology Physician 2085N0904X42494 (MN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1891795928

Brian J. De Michaelis, MD's National Provider Identifier is 1891795928, issued on Jul 29, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Robbinsdale, MN. The record was last updated on Mar 3, 2009.