Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Andrew Miclau

Individual provider Internal Medicine Physician · NPI 1730881376

Theodore Andrew Miclau is a Physical Medicine and Rehabilitation in Rochester, Minnesota. Graduated from University of California, San Francisco School of Medicine in 2024, 2 years ago. Licensed in Minnesota.

Years since qualifying
2
Trained at
University of California, San Francisco School of Medicine
Licensed in
MN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-2208
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 80266 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 80266 (MN)

Record details

NPI number1730881376
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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