Individual
DR. JOSEPH1940 HARRY MERICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 MAPLE ST, ALEXANDRIA, MN 56308-2626
(320) 763-4906
Mailing address
1109 MAPLE ST, ALEXANDRIA, MN 56308-2626
(320) 763-4906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17363
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17363
LICENSE TO PRACTICE MEDIC
MN
Enumeration date
05/29/2007
Last updated
07/08/2007
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