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220 N 6th Ave E Duluth MN 55805-1952 | |
| (218) 249-7000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 220 N 6th Ave E, Duluth, Minnesota |
| Authorized Official Name and Position | Katherine Becker (VP COMPLIANCE) |
| Authorized Official Contact | 2182495555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
220 N 6th Ave E Duluth MN 55805-1952 Ph: (218) 249-7000 | 220 N 6th Ave E Duluth MN 55805-1952 Ph: (218) 249-7000 |
| NPI Number | 1184678880 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184678880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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