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Individual
MERFAKE SEMRET
Active
Individual
MERFAKE SEMRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
4301086643
MI
207RN0300X
Nephrology Physician
103805
MN
207RN0300X
Nephrology Physician
Primary
51268
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00642987
MEDICARE, RAILROAD
MN
Enumeration date
05/16/2007
Last updated
01/21/2009
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