Individual
DR. JENNIFER KAY MERLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
407 E 3RD ST, ESSENTIA HEALTH-ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4357
Mailing address
407 E 3RD ST, ESSENTIA HEALTH- ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57002
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326274234
—
MI
05
—
1326274234
—
WI
Enumeration date
06/05/2009
Last updated
10/17/2013
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