Individual
MRS. MICHELLE L MEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3585 124TH AVE NW, STE 400, COON RAPIDS, MN 55433-1006
(763) 767-1524
(763) 767-1528
Mailing address
3585 124TH AVE NW, STE 400, COON RAPIDS, MN 55433-1006
(763) 767-1524
(763) 767-1528
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1511674
UNITED CONCORDIA
MN
01
—
836963100
MA
MN
01
—
98G31ME
BLUE CROSS
MN
Enumeration date
07/04/2006
Last updated
08/18/2011
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