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1216 Ordean Ct Duluth MN 55812-3032 | |
(218) 726-8709 | |
Not Available |
Full Name | |
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Speciality | Family Medicine - Sports Medicine |
Location | 1216 Ordean Ct, Duluth, Minnesota |
Authorized Official Name and Position | Josh Berlo (ASST ATH DIR FOR SPORTS MEDICINE) |
Authorized Official Contact | 2187268637 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | 1216 Ordean Ct Duluth MN 55812-3032 Ph: (218) 726-8709 |
NPI Number | 1497157168 |
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Provider Enumeration Date | 09/24/2014 |
Last Update Date | 09/24/2014 |
Identifier | Type | State | Issuer |
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1497157168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QS0010X | Family Medicine - Sports Medicine | (* (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 |