Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Philip Robert Mic, PA-C

Individual provider Physician Assistant · NPI 1386458271

Philip Robert Mic, PA-C is a Physician Assistant in Edina, Minnesota. Qualified in 2024, 2 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6405 France Ave S Ste W200
Edina, MN 55435-2186
Phone: (612) 365-5000
Fax: (952) 836-3950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1386458271
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address6405 France Ave S Ste W200, Edina, MN 55435-2186

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Edina