Individual
DR. CAITLYN NICOLE MYRDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2737
Mailing address
2901 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4329
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
04/05/2024
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