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NORTHLAND UROLOGY ASSO. P.A. NPI 1932125820


NPI Information

NPI: 1932125820
Provider Name: NORTHLAND UROLOGY ASSO. P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1000 E 1ST ST STE 306
DULUTH, MN
ZIP 55805
Phone: (218) 727-8414
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NORTHLAND UROLOGY ASSO. P.A. is a specialist in Duluth, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHLAND UROLOGY ASSO. P.A. NPI is 1932125820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 E 1ST ST STE 306
DULUTH, MN
ZIP 55805-297
Phone: (218) 727-8414
Fax: (218) 727-8416

The provider's authorized official is Simon P Zadina .
The authorized official title is President and has the following contact phone number (218) 727-8414.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialist033196MINNESOTAYes

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
14298977MEDICAIDMINNESOTA

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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