Individual
MARY A MEIERHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1001 E CENTRAL ENTRANCE, SUITE 200, DULUTH, MN 55811-5520
(218) 722-0833
Mailing address
ONE WATERFRONT PLAZA, DULUTH, MN 55802
(218) 722-5484
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R057278-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-04528
MEDICA
—
01
—
1006717
PREFERRED ONE
—
01
—
135391
UCARE
—
01
—
395G3ME
BCBS MN
MN
01
—
686271
AMERICA'S PPO (ARAZ)
—
05
—
790342100
—
MN
01
—
HP55632
HEALTH PARTNERS
—
Enumeration date
01/27/2006
Last updated
07/08/2007
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