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NPI Code Detail

MEDICARE: MERCEDES CAELWAERTS

MEDICARE: MERCEDES CAELWAERTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2917ND

General Provider Information

NPI Number : 1962335091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES CAELWAERTS
Provider Business Mailing Address
First Line : 3750 RUEMMELE RD APT 203
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-6397
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 725 HAMLINE ST STE 1200
Second Line :
City : GRAND FORKS
State : ND
Zip : 58203-2819
Country : US
Telephone Number : 701-780-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ MERCEDES CAELWAERTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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