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Individual
DEBORAH LEA METCALF
Active
Individual
DEBORAH LEA METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51665
SC
208000000X
Pediatrics Physician
51665
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59425
MINNESOTA MEDICAL LICENSE
MN
Enumeration date
07/05/2011
Last updated
01/22/2018
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