IndividualActive
Alycia Midas, MD
NPI 1770164071 · Pediatrics Physician · Maple Grove, MN
Provider details
- NPI number
- 1770164071
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 76573 (MN)
Practice location
12000 Elm Creek Blvd N Ste 250
Maple Grove, MN 55369-7164
Phone: (952) 401-8300
Fax: (952) 401-8242
Mailing address
17705 Hutchins Dr Ste 250
Minnetonka, MN 55345-4103
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2024-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.