Individual
MICHELLE LEE JERDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10740 COUNTY ROAD 37 NE APT 109, ALBERTVILLE, MN 55301-9663
(763) 300-6995
Mailing address
10740 COUNTY ROAD 37 NE APT 109, ALBERTVILLE, MN 55301-9663
(763) 300-6995
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
384639
MN
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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