I lived in Minnesota for ten years and found the doctors stuck on cookie cutter formulas. They could not understand anything outside the cookie cutter. Notably a man in his 50’s still in competitive cycling. It was a deviation from the standard demographic. So after getting a chest X-ray after a good competitive season, I get told that I had congestive heart failure. It was the only explanation for the size of my heart. A man over 50 was simply incapable of training over 200 miles a week.
I do not recognize any professional license issued by the State of Minnesota.
My husband refers to them as “flow chart doctors”. There are some that have gotten pretty mad about it. Most don’t want to dig a little deeper to find out what is actually wrong.