THE DULUTH CLINIC LTD NPI 1245278936

NPI Information

THE DULUTH CLINIC, LTD is a multi-specialty clinic center in Duluth, MN. THE DULUTH CLINIC, LTD NPI is 1245278936. The provider is registered as an organization entity type.
The provider Is Doing Business As Essentia Health Lakeside Clinic.

The provider's business location address is:

4621 E SUPERIOR ST
DULUTH, MN
ZIP 55804-338
Phone: (218) 786-3550

The provider's authorized official is Kevin Boren .
The authorized official title is Vp Of Finance and has the following contact phone number (218) 786-1009.

The CLIA number assigned to this NPI record is 24D0403946 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 9/20/2019.

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:

Other Identifiers

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