| The Duluth Clinic, Ltd | |
|
405 W 3rd Ave N Box 392 Aurora MN 55705-1247 | |
| (218) 229-3311 | |
| Not Available |
| Full Name | The Duluth Clinic, Ltd |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 405 W 3rd Ave N, Aurora, Minnesota |
| Authorized Official Name and Position | Michael Metcalf (EX. VP & SR. OFFICER DC OPERATIONS) |
| Authorized Official Contact | 2187862625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Duluth Clinic, Ltd 405 W 3rd Ave N Box 392 Aurora MN 55705-1247 Ph: (218) 229-3311 | The Duluth Clinic, Ltd 405 W 3rd Ave N Box 392 Aurora MN 55705-1247 Ph: (218) 229-3311 |
| NPI Number | 1982641791 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 02/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982641791 | NPI | - | NPPES |
| 230814200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Northern Pines Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Highway 110, Aurora, MN 55705 Phone: 218-229-2211 |