Individual
MICALA SUE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(320) 634-5157
Mailing address
32523 STATE HIGHWAY 55, FARWELL, MN 56327-2056
(320) 491-5786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8384
MN
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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