Individual
DR. MERYL G WILLERT
Active
Individual
DR. MERYL G WILLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
287
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18694
—
ND
01
—
20281773958103A002
TRICARE
ND
01
—
28552
BCBS - MINOT
—
01
—
28565
BCBS - FARGO
ND
01
—
58569
BCBS - BISMARCK
ND
01
—
61-28263
MEDICA (UBH)
—
Enumeration date
01/23/2006
Last updated
08/21/2007
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