Individual provider · NPI-1
James Thomas Berquist
Hospitalist · Duluth, MN
NPI number1114942737
StatusActive
Last updated in NPPESNov 1, 2017
Details
- NPI
- 1114942737
- Entity type
- Individual (NPI-1)
- Name
- James Thomas Berquist
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Nov 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 42603 | MN | Yes |
| 207R00000X | Internal Medicine | 42603 | MN |
Practice location
400 E 3rd StDuluth, MN 55805-1951
Phone 218-786-8364
Mailing address
400 E 3rd StDuluth, MN 55805-1951
Phone 218-786-8364
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