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113 N 2nd Ave W Duluth MN 55802-1911 | |
(218) 382-5423 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 113 N 2nd Ave W, Duluth, Minnesota |
Authorized Official Name and Position | Kelly Rhea Merriman (OWNER, COO) |
Authorized Official Contact | 6518153644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2335 Gaston Ave White Bear Township MN 55110-2338 Ph: (651) 815-3644 | 113 N 2nd Ave W Duluth MN 55802-1911 Ph: (218) 382-5423 |
NPI Number | 1376056481 |
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Provider Enumeration Date | 11/10/2017 |
Last Update Date | 11/10/2017 |
Identifier | Type | State | Issuer |
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1376056481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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