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Josefino Calibo Diaz

Internal Medicine in Duluth, MN. Individual provider (NPI-1).

NPI number1891723599
StatusActive
Last updated in NPPESJun 22, 2020

Details

NPI
1891723599
Entity type
Individual (NPI-1)
Name
Josefino Calibo Diaz
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2006
Certification date
Jun 22, 2020
Last updated
Jun 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine44952MNYes
207RG0300X Internal Medicine, Geriatric Medicine44952MN

Practice location

400 E 3rd St
Duluth, MN 55805-1951

Phone 218-786-8364

Mailing address

400 E 3rd St
Duluth, MN 55805-1951

Phone 218-786-8364

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