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Individual

MERFAKE SEMRET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
4301086643
MI
207RN0300X
Nephrology Physician
103805
MN
207RN0300X
Nephrology Physician
Primary
51268
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
01
P00642987
MEDICARE, RAILROAD
MN
Enumeration date
05/16/2007
Last updated
01/21/2009
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