The Duluth Clinic, Ltd
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Superior, WI. Organization (NPI-2).
NPI number1083889554
StatusActive
Last updated in NPPESApr 9, 2010
Details
- NPI
- 1083889554
- Entity type
- Organization (NPI-2)
- Legal business name
- The Duluth Clinic, Ltd
- Organization subpart
- Yes
- Enumeration date
- Apr 25, 2008
- Last updated
- Apr 9, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
| 207RN0300X | Internal Medicine, Nephrology | – | – |
Other names
- Duluth Clinic At Fresenius Superior Dialysis Unit (Doing Business As)
Practice location
3500 Tower AveSuperior, WI 54880-5335
Phone 715-395-2199
Mailing address
3500 Tower AveSuperior, WI 54880-5335
Phone 715-395-2199
Authorized official
John Smylie
Cao
2187862656
Is something wrong?
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