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Specialty details in registry · Duluth, MN

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At a glance

301 W 1St St, Duluth, MN 55802-1613

NPPES record updated Jun 14, 2010. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

301 W 1St St Suite 503
Duluth, MN 55802-1613

Professional details: NPI, taxonomy & registry record

NPI1154642262

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0855X
Enumeration date: Jun 14, 2010
Record updated: Jun 14, 2010

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0855X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

301 W 1St St
Suite 503
Duluth, MN 55802-1613

Phone: (949) 939-9808

Mailing address

301 W 1ST ST
SUITE 503
DULUTH, MN 558021613

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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