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THE DULUTH CLINIC LTD NPI 1427110824


NPI Information

NPI: 1427110824
Provider Name: THE DULUTH CLINIC, LTD

Doing Business As: SUPERIOR CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3500 TOWER AVE
SUPERIOR, WI
ZIP 54880
Phone: (715) 395-5454
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THE DULUTH CLINIC, LTD is a multi-specialty clinic center in Superior, WI. THE DULUTH CLINIC, LTD NPI is 1427110824. The provider is registered as an organization entity type.
The provider Is Doing Business As Superior Clinic.

The provider's business location address is:

3500 TOWER AVE
SUPERIOR, WI
ZIP 54880-335
Phone: (715) 395-5454

The provider's authorized official is John Smylie .
The authorized official title is Ex. Vp & Sr Officer Dc Operations and has the following contact phone number (218) 786-2625.

The enumeration date for this NPI number is 12/14/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 5/5/2024

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