| NPI Details | |
|---|---|
| NPI | 1740591338 |
| Gender | Female |
| Enumeration Date | 06/29/2010 |
| Last Updated | 10/31/2011 |
| Entity Type | Individual |
| Active | Over 6 years ago |
| Practice Location | |
|---|---|
| 400 E 3RD ST SMDC MEDICAL CENTER-DULUTH CLINIC DULUTH MN, 55805-1951, US |
|
| Phone | (218) 786-1234 |
| Fax | |
| Business Location | |
|---|---|
| 400 E 3RD ST SMDC MEDICAL CENTER-DULUTH CLINIC DULUTH MN, 55805-1951, US |
|
| Phone | (218) 786-1234 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363AM0700X |
| License State | Minnesota |
| License Number | 10777 |
| Remove 1740591338 NPI Number | |
According to our database, Katie Sorensen PA NPI is 1740591338, taxonomy code is 363AM0700X and license number is 10777, license state is located at Minnesota. Katie Sorensen PA physically located at 400 E 3rd St, Duluth MN, 55805-1951. NPI Number Katie Sorensen PA has the Individual type.
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1740591338 NPI number is provided on an as is basis without warranty of any kind. 1740591338 is maintained by the National Plan & Provider Enumeration System. The contents of Katie Sorensen PA are for informational purposes only.
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