Individual
MERSADIES ST ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 33RD AVE S, SAINT CLOUD, MN 56301-3753
(320) 443-6250
Mailing address
141 33RD AVE S, SAINT CLOUD, MN 56301-3753
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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