| Waterstone Clinic P.c. | |
|
314 W Superior St Suite 902 Duluth MN 55802-1805 | |
| (218) 727-4531 | |
| (218) 727-4211 |
| Full Name | Waterstone Clinic P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 314 W Superior St, Duluth, Minnesota |
| Authorized Official Name and Position | Gregory Peter Bambenek (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2187274531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterstone Clinic P.c. 314 W Superior St Suite 902 Duluth MN 55802-1805 Ph: (218) 727-4531 | Waterstone Clinic P.c. 314 W Superior St Suite 902 Duluth MN 55802-1805 Ph: (218) 727-4531 |
| NPI Number | 1811014806 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811014806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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