Derek Michaelis

NPI #1932764883 in Duluth, Minnesota

Provider Information

NPI Number: 1932764883
Entity Type: Individual
Name: Derek Michaelis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: May 7, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 213 W 1ST ST
City: Duluth
State: Minnesota
ZIP Code: 55802-1909
Phone: (218) 727-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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