Individual
SONDRA S MERICLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7670
Mailing address
PO BOX 127, FOREST LAKE, MN 55025-0127
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
38861
MN
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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