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Individual

DR. JOHN MERLADET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1 VETERANS DR, ATTN: K. LOWERY #116A, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
(612) 467-5971
Mailing address
704 3RD AVENUE SE, MINNEAPOLIS, MN 55414
(612) 532-1128

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014947-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02217747
NY
Enumeration date
05/23/2006
Last updated
04/07/2011
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