Elmer, Wayne Alan

Elmer, Wayne Alan is an individual health care provider with primary practice located at 920 E 1St St Suite 201, Duluth MN 55805-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Elmer, Wayne Alan can be contacted via phone (218) 249-7970.

Contact Information

Primary practice address
920 E 1St St Suite 201 Duluth MN 55805-2201
Fax: (218) 249-7997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 45968 Minnesota

Profile Details

NPI number 1740230903
LBN Legal business name Elmer, Wayne Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 2nd, 2017 - about 7 years ago

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 1740230903 NPPES
Minnesota MEDICAID 490642000

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