Full Name | |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1015 E 1st St, 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 |
---|---|
1015 E 1st St Duluth MN 55805-2242 Ph: (218) 249-7940 | 1015 E 1st St Duluth MN 55805-2242 Ph: (218) 249-7940 |
NPI Number | 1902850605 |
---|---|
Provider Enumeration Date | 05/19/2006 |
Last Update Date | 08/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902850605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (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 |