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Derek Michaelis
NPI 1932764883 · on the registry since 2019 · sole proprietor
Practice
- Address
- 213 W 1st St
Duluth, MN 55802 - Phone
- (218) 727-1004
- Organisation at this address
- Derin J Van Loon Od Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota