Healthcare Provider Details

I. General information

NPI: 1902737299
Provider Name (Legal Business Name): MERIT FLOERKE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 E 1ST ST STE 200
DULUTH MN
55802-3032
US

IV. Provider business mailing address

632 E 3RD ST APT C
DULUTH MN
55805-2072
US

V. Phone/Fax

Practice location:
  • Phone: 218-726-1442
  • Fax:
Mailing address:
  • Phone: 218-340-3474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2540630
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: