| Essentia Health Duluth Clinic | |
|
400 E 3rd St, Duluth, MN 55805-1951 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Essentia Health Duluth Clinic |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 400 E 3rd St, Duluth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245278209 | NPI | - | NPPES |
| 1245278209 | Medicaid | MN |
| Provider Name | Daniel Lee Mark |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972539955 PECOS PAC ID: 7618878307 Enrollment ID: I20040115001038 |
| Provider Name | Michelle Marie Flanagan Haag |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417996026 PECOS PAC ID: 8820990245 Enrollment ID: I20040124000322 |
| Provider Name | Daniel John Mullins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255491445 PECOS PAC ID: 7012811565 Enrollment ID: I20040310000152 |
| Provider Name | Willett Wakin Pang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407813637 PECOS PAC ID: 9436145018 Enrollment ID: I20040421000064 |
| Provider Name | Craig Norman Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427116268 PECOS PAC ID: 9335138296 Enrollment ID: I20040507000242 |
| Provider Name | Sara A Mccumber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619918406 PECOS PAC ID: 3375532468 Enrollment ID: I20040512000838 |
| Provider Name | Peter Karl Franklin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710919378 PECOS PAC ID: 5496722738 Enrollment ID: I20040915000566 |
| Provider Name | Kathleen C Braddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356380992 PECOS PAC ID: 7911984307 Enrollment ID: I20041112000295 |
| Provider Name | Kelly Marie Bolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629004247 PECOS PAC ID: 8527010743 Enrollment ID: I20050216000511 |
| Provider Name | Maxine Lynn Paquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841223252 PECOS PAC ID: 1658315056 Enrollment ID: I20050616000494 |
| Provider Name | Michael E Mollerus |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669402624 PECOS PAC ID: 3779528849 Enrollment ID: I20050813000134 |
| Provider Name | Paul K Kosmatka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619901287 PECOS PAC ID: 6800829938 Enrollment ID: I20050919000018 |
| Provider Name | Jill Rene-pierce Holsinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255431524 PECOS PAC ID: 0244219822 Enrollment ID: I20051005000436 |
| Provider Name | Paul R Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487717047 PECOS PAC ID: 6608859566 Enrollment ID: I20051005001124 |
| Provider Name | Richard Kanoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407893753 PECOS PAC ID: 4981621638 Enrollment ID: I20051101000553 |
| Provider Name | Andrea Jill Wahman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740214998 PECOS PAC ID: 4587687603 Enrollment ID: I20060104000441 |
| Provider Name | Wilson Lim Ginete |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922055607 PECOS PAC ID: 0244214112 Enrollment ID: I20060110000790 |
| Provider Name | Blanche Belle Ebert |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821026410 PECOS PAC ID: 9830093467 Enrollment ID: I20060222000114 |
| Provider Name | Janus P Butcher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588610992 PECOS PAC ID: 3577571710 Enrollment ID: I20060329000380 |
| Provider Name | Timothy Alan Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801830856 PECOS PAC ID: 8224031729 Enrollment ID: I20060823000535 |
| Provider Name | Olga Mikhaylovna Ter-grigoryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700896420 PECOS PAC ID: 2264436997 Enrollment ID: I20060911000485 |
| Provider Name | Kirsten Ann Moore Kangas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699785956 PECOS PAC ID: 3971508334 Enrollment ID: I20061011000613 |
| Provider Name | Thomas G Malloy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285696161 PECOS PAC ID: 3375530413 Enrollment ID: I20061205000482 |
| Provider Name | Elizabeth Rosemary Kohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518948165 PECOS PAC ID: 4688565963 Enrollment ID: I20070220000318 |
| Provider Name | Stephen Joseph Smalley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992787717 PECOS PAC ID: 5496768806 Enrollment ID: I20070320000041 |
| Provider Name | Edward M Wineck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790711299 PECOS PAC ID: 1254436868 Enrollment ID: I20070410000282 |
| Provider Name | James P Gregory |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811999733 PECOS PAC ID: 3971406554 Enrollment ID: I20070917000158 |
| Provider Name | Rachael Lynn Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912976952 PECOS PAC ID: 2062445661 Enrollment ID: I20071228000117 |
| Provider Name | Brian M Byer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619030277 PECOS PAC ID: 7618993817 Enrollment ID: I20080226000245 |
| Provider Name | Scott A Eskuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831110915 PECOS PAC ID: 8628977097 Enrollment ID: I20080331000213 |
| Provider Name | Mark L Grim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609843911 PECOS PAC ID: 8729065180 Enrollment ID: I20080430000570 |
| Provider Name | Timothy Paul Rich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578630174 PECOS PAC ID: 1355375007 Enrollment ID: I20080619000654 |
| Provider Name | Laura K Prouty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356521165 PECOS PAC ID: 2961583331 Enrollment ID: I20080805000881 |
| Provider Name | Russell Edward O'connell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831145846 PECOS PAC ID: 0345135562 Enrollment ID: I20080815000257 |
| Provider Name | Chad A Mehling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578762399 PECOS PAC ID: 4183710114 Enrollment ID: I20080919000322 |
| Provider Name | Kevin C Bushey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578519153 PECOS PAC ID: 3173683901 Enrollment ID: I20081124000140 |
| Provider Name | Thomas Edward Russ |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023046570 PECOS PAC ID: 5193637775 Enrollment ID: I20081208000523 |
| Provider Name | Mark Douglas Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912946542 PECOS PAC ID: 4082776372 Enrollment ID: I20081220000033 |
| Provider Name | Christopher T Bunch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790845774 PECOS PAC ID: 5597793794 Enrollment ID: I20090109000649 |
| Provider Name | Tracy Gallagher Pagliuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730270745 PECOS PAC ID: 8426122334 Enrollment ID: I20090302000517 |
| Provider Name | Pericles Peter Regas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649363284 PECOS PAC ID: 2264507797 Enrollment ID: I20090529000239 |
| Provider Name | Kim Ogle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235324781 PECOS PAC ID: 4880731694 Enrollment ID: I20091028000138 |
| Provider Name | Jon W Stephenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437235074 PECOS PAC ID: 2365588001 Enrollment ID: I20091123000267 |
| Provider Name | Anna M Brabec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336473214 PECOS PAC ID: 2567503915 Enrollment ID: I20100106000853 |
| Provider Name | Stephen M Bockhold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174732952 PECOS PAC ID: 8628162963 Enrollment ID: I20100111000189 |
| Provider Name | Susan Kay Barningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992033773 PECOS PAC ID: 9537201256 Enrollment ID: I20100119000450 |
| Provider Name | Anne Nicole Normand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164517785 PECOS PAC ID: 0749287449 Enrollment ID: I20100125000761 |
| Provider Name | Brian Stank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982762118 PECOS PAC ID: 6305888595 Enrollment ID: I20100714000695 |
| Provider Name | Tammy L Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275867384 PECOS PAC ID: 2466595418 Enrollment ID: I20100923000913 |
| Provider Name | Jeffrey D Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376531871 PECOS PAC ID: 3577755628 Enrollment ID: I20101007000292 |
| Provider Name | Nicole Susanne Seacotte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548450018 PECOS PAC ID: 5991842775 Enrollment ID: I20101119000672 |
| Provider Name | Lawrence Filmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366501397 PECOS PAC ID: 2769474162 Enrollment ID: I20101124000303 |
| Provider Name | Ana M Fernandezpokorny |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316979933 PECOS PAC ID: 2062400997 Enrollment ID: I20101124000982 |
| Provider Name | Bradley Lloyd-joseph Rauzi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801901103 PECOS PAC ID: 7315043486 Enrollment ID: I20110112000022 |
| Provider Name | Kelly U Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157625 PECOS PAC ID: 3375681547 Enrollment ID: I20110328000660 |
| Provider Name | David Allen Burton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114257532 PECOS PAC ID: 5890822217 Enrollment ID: I20110405000717 |
| Provider Name | Brian D Klocke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912201153 PECOS PAC ID: 6002091394 Enrollment ID: I20110502000449 |
| Provider Name | Matthew Mark Brabec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114219250 PECOS PAC ID: 2466639950 Enrollment ID: I20110609000629 |
| Provider Name | Erik M Wendland |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891962445 PECOS PAC ID: 0941479786 Enrollment ID: I20110811000409 |
| Provider Name | Emily Rose Opacich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902190382 PECOS PAC ID: 0941470298 Enrollment ID: I20110824000760 |
| Provider Name | Benjamin Forbes Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902073836 PECOS PAC ID: 2062558224 Enrollment ID: I20110829000186 |
| Provider Name | Anne Elizabeth Skwira Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447450309 PECOS PAC ID: 1355437229 Enrollment ID: I20110830000669 |
| Provider Name | Hilary A Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114224904 PECOS PAC ID: 5395916696 Enrollment ID: I20111117000622 |
| Provider Name | Kelle Klocke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982981072 PECOS PAC ID: 1658548482 Enrollment ID: I20120324000096 |
| Provider Name | Gunnar M Christopher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851678247 PECOS PAC ID: 6709052905 Enrollment ID: I20120416000027 |
| Provider Name | Jeffrey Michael Rengel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700872629 PECOS PAC ID: 2365468238 Enrollment ID: I20120803000351 |
| Provider Name | Kristina Louise Borman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516966 PECOS PAC ID: 8921257973 Enrollment ID: I20121005000684 |
| Provider Name | Katherine Ann Beresford |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1912151747 PECOS PAC ID: 7416105549 Enrollment ID: I20121126000294 |
| Provider Name | Gerald M Kubik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518994870 PECOS PAC ID: 8426201203 Enrollment ID: I20130102000411 |
| Provider Name | Bradley Randall Kuzel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558554006 PECOS PAC ID: 1557518503 Enrollment ID: I20130521000553 |
| Provider Name | Timothy Paul Esser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962675348 PECOS PAC ID: 1052565793 Enrollment ID: I20130725000944 |
| Provider Name | Peter Kebbekus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245406750 PECOS PAC ID: 0446492573 Enrollment ID: I20140113000649 |
| Provider Name | Bobbie Kristi Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306131230 PECOS PAC ID: 8729259684 Enrollment ID: I20140307001470 |
| Provider Name | Hannah Katherine Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528406410 PECOS PAC ID: 3274776331 Enrollment ID: I20140507000730 |
| Provider Name | Kathleen A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851324727 PECOS PAC ID: 9739221227 Enrollment ID: I20140611000179 |
| Provider Name | Mary Alice Rantala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720174881 PECOS PAC ID: 5799790077 Enrollment ID: I20140711001309 |
| Provider Name | Karen Wyse Niedermier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821058421 PECOS PAC ID: 7416113014 Enrollment ID: I20140924001371 |
| Provider Name | Beret A Casey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124289483 PECOS PAC ID: 1658512892 Enrollment ID: I20140925002443 |
| Provider Name | Anne Marie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053712489 PECOS PAC ID: 2365661410 Enrollment ID: I20141106001603 |
| Provider Name | Sreedhar Devathi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528208642 PECOS PAC ID: 5496948549 Enrollment ID: I20141216001498 |
| Provider Name | Justin David Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306026778 PECOS PAC ID: 8022189299 Enrollment ID: I20150128000562 |
| Provider Name | Michael Edward Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215953997 PECOS PAC ID: 4082676846 Enrollment ID: I20150128001679 |
| Provider Name | Ningmei Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902821416 PECOS PAC ID: 7719947373 Enrollment ID: I20150129001866 |
| Provider Name | Michael Patrick Caldwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952444010 PECOS PAC ID: 1254415706 Enrollment ID: I20150129002160 |
| Provider Name | Tammy Mcgrane Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730247552 PECOS PAC ID: 8022920297 Enrollment ID: I20150129002593 |
| Provider Name | Bruce James Derauf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003847385 PECOS PAC ID: 9133181969 Enrollment ID: I20150203000515 |
| Provider Name | Daniel William Zelen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336288448 PECOS PAC ID: 9830280536 Enrollment ID: I20150203000682 |
| Provider Name | Gregory Legrande Horsley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245439744 PECOS PAC ID: 2264667542 Enrollment ID: I20150203002038 |
| Provider Name | David George Andrew Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932135936 PECOS PAC ID: 9436119799 Enrollment ID: I20150209001072 |
| Provider Name | Ramin Artang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376617282 PECOS PAC ID: 2668577073 Enrollment ID: I20150601002746 |
| Provider Name | Nicholas James Milanovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992931778 PECOS PAC ID: 0446562516 Enrollment ID: I20150701002030 |
| Provider Name | Erin H Grund |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306024567 PECOS PAC ID: 6608934369 Enrollment ID: I20150710002249 |
| Provider Name | Jill Schenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770594475 PECOS PAC ID: 7113998352 Enrollment ID: I20150908002735 |
| Provider Name | Joseph William Stromsness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013395748 PECOS PAC ID: 0446567846 Enrollment ID: I20150917001203 |
| Provider Name | Jennifer N Malmberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770940579 PECOS PAC ID: 3173827896 Enrollment ID: I20160208000174 |
| Provider Name | Randy Allan Braaten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124083233 PECOS PAC ID: 0840337713 Enrollment ID: I20160223000439 |
| Provider Name | Richard Hoch Cochrane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285677393 PECOS PAC ID: 9335052810 Enrollment ID: I20160617000683 |
| Provider Name | Eric Scott Sherck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922082825 PECOS PAC ID: 3274826698 Enrollment ID: I20160722001371 |
| Provider Name | Nicole M Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346609229 PECOS PAC ID: 5890092274 Enrollment ID: I20160822002986 |
| Provider Name | Carrie Lynn Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598210239 PECOS PAC ID: 2365738200 Enrollment ID: I20161003001089 |
| Provider Name | Kenneth James Farrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477544005 PECOS PAC ID: 9234112194 Enrollment ID: I20161110001334 |
| Provider Name | Holly Lynn Gomez-levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881857167 PECOS PAC ID: 5890948368 Enrollment ID: I20170224002060 |
| Provider Name | Monica Blanche Mcdevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326865 PECOS PAC ID: 9739473810 Enrollment ID: I20170621000594 |
| Provider Name | Bret Mitchell Brady |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518186337 PECOS PAC ID: 7517064140 Enrollment ID: I20171005001717 |
| Provider Name | Denise Marie Lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922305655 PECOS PAC ID: 7315207990 Enrollment ID: I20180130000338 |
| Provider Name | Meghan Eileen Rochefort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922517093 PECOS PAC ID: 3375800741 Enrollment ID: I20180219001890 |
| Provider Name | Joel David Kolmodin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295051407 PECOS PAC ID: 6406142751 Enrollment ID: I20180329001911 |
| Provider Name | Eric James Zimmerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639315286 PECOS PAC ID: 9335365030 Enrollment ID: I20180606001504 |
| Provider Name | Daniel Moloney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548231301 PECOS PAC ID: 0446505267 Enrollment ID: I20180620000432 |
| Provider Name | Chad James St Germain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609037035 PECOS PAC ID: 7012159387 Enrollment ID: I20180621000387 |
| Provider Name | Lee Dale Stokes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891107397 PECOS PAC ID: 6204053598 Enrollment ID: I20180710000268 |
| Provider Name | Amy Marie Westrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275828469 PECOS PAC ID: 5193996577 Enrollment ID: I20180821004055 |
| Provider Name | Anna Gybina |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477896009 PECOS PAC ID: 8426356064 Enrollment ID: I20180918002231 |
| Provider Name | Erin Mccutchen Maddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114260296 PECOS PAC ID: 7315249018 Enrollment ID: I20181016002951 |
| Provider Name | Dane Mcgee Ingebrigtson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104169390 PECOS PAC ID: 9830313923 Enrollment ID: I20181127001133 |
| Provider Name | Leo Bay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659752285 PECOS PAC ID: 8325340789 Enrollment ID: I20181228001847 |
| Provider Name | Thomas W Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360012 PECOS PAC ID: 0749310316 Enrollment ID: I20190213003238 |
| Provider Name | Kristine G Matson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1417020793 PECOS PAC ID: 2062503485 Enrollment ID: I20190329000061 |
| Provider Name | John James Culliney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053416586 PECOS PAC ID: 5395702898 Enrollment ID: I20190529001880 |
| Provider Name | Ayan A Rage |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629201173 PECOS PAC ID: 7810203874 Enrollment ID: I20190610001222 |
| Provider Name | Rachel Elizabeth Bebeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992362941 PECOS PAC ID: 6103153861 Enrollment ID: I20190805000666 |
| Provider Name | Jenna L Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710366364 PECOS PAC ID: 7416262175 Enrollment ID: I20190912000670 |
| Provider Name | Christopher Stephen Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220466 PECOS PAC ID: 4284917766 Enrollment ID: I20190927001115 |
| Provider Name | Brittany Ann Ortler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487177671 PECOS PAC ID: 7810262862 Enrollment ID: I20191119002297 |
| Provider Name | Kirstin Dianne Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372600 PECOS PAC ID: 4486908183 Enrollment ID: I20191126000210 |
| Provider Name | Loann Hellen Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790836492 PECOS PAC ID: 0840399432 Enrollment ID: I20200604000669 |
| Provider Name | Ekaterine Vladimirovna Mchenry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396281978 PECOS PAC ID: 4284901299 Enrollment ID: I20200624000517 |
| Provider Name | Brandon Scott Percival |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962050906 PECOS PAC ID: 7810227329 Enrollment ID: I20200625002484 |
| Provider Name | Amanda Joan Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063983724 PECOS PAC ID: 8426395302 Enrollment ID: I20200630002042 |
| Provider Name | Joseph Autio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265087829 PECOS PAC ID: 6507198066 Enrollment ID: I20200707001911 |
| Provider Name | Rebecca Grumdahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962978155 PECOS PAC ID: 7618221623 Enrollment ID: I20200709000282 |
| Provider Name | Amber Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568845923 PECOS PAC ID: 3678818150 Enrollment ID: I20200930001235 |
| Provider Name | Jacquelyn Ryan Messer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942647532 PECOS PAC ID: 8325273451 Enrollment ID: I20210128000599 |
| Provider Name | Luke Aaron Law |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104205665 PECOS PAC ID: 0547571762 Enrollment ID: I20210219001811 |
| Provider Name | Andrea Rochelle Lays |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043479660 PECOS PAC ID: 1052487485 Enrollment ID: I20210226001655 |
| Provider Name | Aqeel Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497942866 PECOS PAC ID: 5890885867 Enrollment ID: I20210329001653 |
| Provider Name | Travis Richard Venner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851351597 PECOS PAC ID: 9638142011 Enrollment ID: I20210709000616 |
| Provider Name | Jacob Herbert Walter Whiting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386091122 PECOS PAC ID: 4082907381 Enrollment ID: I20210727000649 |
| Provider Name | Samuel David Tillmans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366977787 PECOS PAC ID: 5092052332 Enrollment ID: I20210813000047 |
| Provider Name | Laura Christensen Waller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053799031 PECOS PAC ID: 6901108992 Enrollment ID: I20210830002322 |
| Provider Name | Joshua Engelsgjerd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689025868 PECOS PAC ID: 1456646710 Enrollment ID: I20211027001244 |
| Provider Name | Jill Marie Essay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609530153 PECOS PAC ID: 1759770555 Enrollment ID: I20211117000980 |
| Provider Name | Anna Lee B Wilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679222376 PECOS PAC ID: 2961898044 Enrollment ID: I20220330001443 |
| Provider Name | Khloe Chao Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457845331 PECOS PAC ID: 9032519418 Enrollment ID: I20220620000221 |
| Provider Name | Katharine Clarke Tebbetts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487312591 PECOS PAC ID: 7214318559 Enrollment ID: I20220719000773 |
| Provider Name | David Reed Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043247422 PECOS PAC ID: 0143415885 Enrollment ID: I20220817003678 |
| Provider Name | Levi La Porte |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1285139865 PECOS PAC ID: 8527306802 Enrollment ID: I20221006002488 |
| Provider Name | Sarah J Mudge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659978930 PECOS PAC ID: 8325444573 Enrollment ID: I20221115003075 |
| Provider Name | Robert White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487151767 PECOS PAC ID: 5597016360 Enrollment ID: I20221208001211 |
| Provider Name | Ryan P Wippler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205037538 PECOS PAC ID: 2668695073 Enrollment ID: I20230201001010 |
| Provider Name | Michael Petry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942731583 PECOS PAC ID: 3870972763 Enrollment ID: I20230306000508 |
| Provider Name | Christine Wasserman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376961169 PECOS PAC ID: 2062832637 Enrollment ID: I20230321001808 |
| Provider Name | Andrea Marie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366166886 PECOS PAC ID: 2567827033 Enrollment ID: I20230505001285 |
| Provider Name | Katie Lange Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154016707 PECOS PAC ID: 0840656104 Enrollment ID: I20230512000070 |
| Provider Name | Brian Joseph Aebly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578705125 PECOS PAC ID: 6507171436 Enrollment ID: I20230810003990 |
| Provider Name | Robert Hamilton Pierce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891749701 PECOS PAC ID: 9537261128 Enrollment ID: I20230817003570 |
| Provider Name | Amanda Zerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073920823 PECOS PAC ID: 5597987362 Enrollment ID: I20230828000869 |
| Provider Name | Emma Rose Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780367896 PECOS PAC ID: 4688029978 Enrollment ID: I20231006000666 |
| Provider Name | Richard Andrew Vanbergen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265404909 PECOS PAC ID: 2961308093 Enrollment ID: I20240108004886 |
| Provider Name | Allan William Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285292615 PECOS PAC ID: 2466788112 Enrollment ID: I20240118003012 |
| Provider Name | Apurv Khanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497744916 PECOS PAC ID: 1759276124 Enrollment ID: I20240201000083 |
| Provider Name | Tyra Jo Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013784883 PECOS PAC ID: 4183067747 Enrollment ID: I20240210000270 |
| Provider Name | Benjamin V Deitzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265153910 PECOS PAC ID: 0345610994 Enrollment ID: I20240220001852 |
| Provider Name | Lee N Hosler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760944508 PECOS PAC ID: 1557785177 Enrollment ID: I20240422001221 |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Duluth Clinic 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Essentia Health Duluth Clinic 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |