Individual
LARELLYN MICHEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 WASHINGTON AVE S, BEMIDJI, MN 56601-3453
(218) 262-6675
Mailing address
1002 WASHINGTON AVE S, BEMIDJI, MN 56601-3453
(218) 262-6675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MN
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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