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MR. ALBERT LOUIS MERIC III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3931 LOUISIANA AVE S, SUITE EAST 500, ST LOUIS PARK, MN 55426-4375
(952) 993-2079
(952) 993-2701
Mailing address
16 WALNUT CRK, IRVINE, CA 92602-1046
(949) 375-8996
(949) 209-1980

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
10495
ND
207T00000X
Neurological Surgery Physician
38056
IA
207T00000X
Neurological Surgery Physician
Primary
50069
MN
207T00000X
Neurological Surgery Physician
C53082
CA
207T00000X
Neurological Surgery Physician
E-5123
AR
207T00000X
Neurological Surgery Physician
MD 018355
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067463200
MN MEDICAL ASSISTANCE
MN
05
3076786
TN
Enumeration date
07/04/2006
Last updated
10/13/2011
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