Lake Superior Internal Medicine

NPI 1295719714 - Internal Medicine - 207R00000X

NPI Details
NPI 1295719714
Enumeration Date 11/30/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SUSANNE SUSANNE
Position PHYSICIAN
Phone (218) 727-0080
Fax (218) 727-2322
Practice Location
324 W SUPERIOR ST
SUITE 625
DULUTH MN, 55802-1701, US
Phone (218) 727-0080
Fax (218) 727-2322
Business Location
324 W SUPERIOR ST
SUITE 625
DULUTH MN, 55802-1701, US
Phone (218) 727-0080
Fax (218) 727-2322
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 31798
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According to our database, Lake Superior Internal Medicine NPI is 1295719714, taxonomy code is 207R00000X and license number is 31798, license state is located at Minnesota. Lake Superior Internal Medicine physically located at 324 W Superior St, Duluth MN, 55802-1701. NPI Number 1033115704 has the healthcare provider type.

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1295719714 NPI number is provided on an as is basis without warranty of any kind. 1295719714 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Superior Internal Medicine are for informational purposes only.