Jonathan Mick
Jonathan Mick is a Customized Equipment (DME) in Royalton, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
6475 170th AveRoyalton, MN 56373-3818
Phone: (320) 431-4270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Chore Provider (primary) | Taxonomy 372500000X |
|---|---|
| Customized Equipment (DME) | Taxonomy 332BC3200X |
Record details
| NPI number | 1669366993 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2025 |
| Last updated in NPPES | June 3, 2025 |
| Certification date | June 3, 2025 |
| Mailing address | 6475 170th Ave, Royalton, MN 56373-3818 |