Northland Gastroenterology PA
Internal Medicine, Gastroenterology in Duluth, MN. Organization (NPI-2).
NPI number1164592770
StatusActive
Last updated in NPPESJun 24, 2010
Details
- NPI
- 1164592770
- Entity type
- Organization (NPI-2)
- Legal business name
- Northland Gastroenterology PA
- Organization subpart
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Jun 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
1420 London RoadSuite 202
Duluth, MN 55805
Phone 218-724-3411 · Fax 218-724-3408
Mailing address
1420 London RoadSuite 202
Duluth, MN 55805
Phone 218-724-3411 · Fax 218-724-3408
Authorized official
Daniel Paul McKee
President
2187243411
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