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Individual

MICHELE KELLY HERRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7250 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4305
(952) 428-1400
(952) 428-1404
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32644
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0425280
MEDICA
MN
01
110134749
RAILROAD MEDICARE
MN
01
1M506HE
BLUE CROSS BLUE SHIELD MN
MN
05
221068100
MN
01
55435A005
TRICARE
MN
01
9221587
DAKOTA CARE
MN
01
966418
AMERICAS PPO/ARAZ
MN
01
NA3181022470
PREFERRED ONE
MN
Enumeration date
08/16/2005
Last updated
03/11/2021
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