Individual
DR. MICAELA MAEYAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6160
Mailing address
21528 155TH ST, SPIRIT LAKE, IA 51360-7227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22205
IA
Other
Enumeration date
07/10/2014
Last updated
01/03/2023
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