THE DULUTH CLINIC LTD NPI 1710104658

NPI Information

  • NPI: 1710104658
  • Provider Name: THE DULUTH CLINIC, LTD
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: DULUTH CLINIC AT LAKEVIEW MEDICAL CENTER SPOONER DIALYSIS UNIT
  • Address: 819 ASH ST
    SPOONER, WI
    ZIP 54801
  • Phone: (715) 635-5303

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NPI Details

THE DULUTH CLINIC, LTD is an end-stage renal disease (esrd) treatment clinic center in Spooner, WI. THE DULUTH CLINIC, LTD NPI is 1710104658. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duluth Clinic At Lakeview Medical Center Spooner Dialysis Unit.

The provider's business location address is:

819 ASH ST
SPOONER, WI
ZIP 54801-201
Phone: (715) 635-5303

The provider's authorized official is Michael C Metcalf .
The authorized official title is Evp and has the following contact phone number (218) 786-2642.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 4/9/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyNo
2261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
152D0040177OTHERWISCONSINCLIA
2000004010MEDICARE PINWISCONSIN

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: 11/21/2025

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