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Individual

MICHAELA A MERRILL MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-1186
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-1186

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5028
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750573044
MN
05
1750573044
WI
Enumeration date
08/10/2007
Last updated
10/17/2013
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