Duluth Family Medicine Clinic
LBN: Duluth Graduate Medical Education Council Inc
Duluth Family Medicine Clinic is an health care organization with primary practice located at 330 N 8Th Ave E , Duluth MN 55805-2024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Duluth Graduate Medical Education Council Inc can be contacted via phone (218) 723-1112, or through Prasad, Shailendra via phone (612) 624-7629.
Contact Information
Primary practice address
330 N 8Th Ave E
Duluth MN 55805-2024
Phone: (218) 723-1112
Fax: (218) 529-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1972585867 |
|---|---|
| LBN Legal business name | Duluth Graduate Medical Education Council Inc |
| DBA Doing business as | Duluth Family Medicine Clinic |
| Authorized official | Prasad, Shailendra Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | May 24th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972585867 | NPPES |
| Wisconsin | MEDICAID | 32674900 | |
| Wisconsin | MEDICAID | 647010600 | |
| Wisconsin | Other | 69226FA |
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