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NORTHLAND GASTROENTEROLOGY PA NPI 1164592770


NPI Information

NPI: 1164592770
Provider Name: NORTHLAND GASTROENTEROLOGY PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1420 LONDON ROAD
SUITE 202
DULUTH, MN
ZIP 55805
Phone: (218) 724-3411
Get Directions

NORTHLAND GASTROENTEROLOGY PA is a gastroenterology internal medicine in Duluth, MN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. NORTHLAND GASTROENTEROLOGY PA NPI is 1164592770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1420 LONDON ROAD
SUITE 202
DULUTH, MN
ZIP 55805
Phone: (218) 724-3411
Fax: (218) 724-3408

The provider's authorized official is Daniel Paul Mckee .
The authorized official title is President and has the following contact phone number (218) 724-3411.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 6/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1065T6NOOTHERFIRST PLAN OF MINNESOTA
2065T6NOOTHERMINNESOTABLUE SHIELD AND FIRST PLA
3100000463MEDICARE PINMINNESOTA
4065T6NOOTHERMINNESOTABLUECROSS AND BLUESHIELD
583860OTHERHEALTH PARTNERS
6CJ5768OTHERMINNESOTARAILROAD MEDICARE
7167970OTHERUCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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