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OCCUPATIONAL AND MANUAL MEDICINE OF DULUTH NPI 1821251455


NPI Information

NPI: 1821251455
Provider Name: OCCUPATIONAL AND MANUAL MEDICINE OF DULUTH
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
1420 LONDON RD
SUITE 102B
DULUTH, MN
ZIP 55805
Phone: (218) 724-6002
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OCCUPATIONAL AND MANUAL MEDICINE OF DULUTH is a preventive medicine/occupational environmental medicine preventive medicine in Duluth, MN. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. OCCUPATIONAL AND MANUAL MEDICINE OF DULUTH NPI is 1821251455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1420 LONDON RD
SUITE 102B
DULUTH, MN
ZIP 55805-433
Phone: (218) 724-6002

The provider's authorized official is Sharon Obst .
The authorized official title is Manager and has the following contact phone number (218) 724-6002.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.


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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine30428MINNESOTAYes

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
1E98130MEDICARE UPIN
2264783400MEDICAIDMINNESOTA

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: 4/28/2024

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