Individual
DR. MEGAN ROSINE UNDEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720-3787
(218) 878-7061
(218) 878-7084
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-3787
(218) 878-7061
(218) 878-7084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119490
MN
183500000X
Pharmacist
40087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932197522
—
MN
01
—
217K8FA
BCBS OF MN
MN
01
—
70-50447
MEDICA
MN
Enumeration date
10/09/2005
Last updated
11/15/2011
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