Avello, Waldo

Avello, Waldo is an individual health care provider with primary practice located at 1012 E 2Nd St , Duluth MN 55805-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Avello, Waldo can be contacted via phone (218) 249-7940.

Contact Information

Primary practice address
1012 E 2Nd St Duluth MN 55805-2200
Phone: (218) 249-7940
Fax: (218) 249-7949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 127832 Montana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X EMC0005005 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 45321 Minnesota

Profile Details

NPI number 1922057322
LBN Legal business name Avello, Waldo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922057322 NPPES
Minnesota Other 100017212 MEDICARE RR
Minnesota MEDICAID 527402800 MEDICARE RR

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