| |
324 W Superior St Ste 220 Duluth MN 55802-1701 | |
(218) 727-8585 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 324 W Superior 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 |
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324 W Superior St Ste 220 Duluth MN 55802-1701 Ph: (218) 727-8585 | 324 W Superior St Ste 220 Duluth MN 55802-1701 Ph: (218) 727-8585 |
NPI Number | 1871545889 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 05/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871545889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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