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4316 Rice Lake Rd Duluth MN 55811-4012 | |
(952) 205-1252 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 4316 Rice Lake Rd, Duluth, Minnesota |
Authorized Official Name and Position | Joy Kimball (CONTRACT MANAGER) |
Authorized Official Contact | 7633496740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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423 Fortress Blvd Morgantown WV 26508-1351 Ph: (304) 225-2500 | 4316 Rice Lake Rd Duluth MN 55811-4012 Ph: (952) 205-1252 |
NPI Number | 1013561893 |
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Provider Enumeration Date | 07/30/2019 |
Last Update Date | 05/07/2024 |
Identifier | Type | State | Issuer |
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1013561893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Lake Superior Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4602 Grand Ave Ste 1000, Duluth, MN 55807 Phone: 218-336-3520 Fax: 218-624-6097 | |
St. Luke's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5232 | |
Mission Creek Transitional Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Marshall St, Duluth, MN 55803 Phone: 218-340-8674 |