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Organization
NORTHLAND GASTROENTEROLOGY PA
Active
Organization
NORTHLAND GASTROENTEROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PAUL MCKEE MD (PRESIDENT)
(218) 724-3411
Entity
Organization
Contact information
Practice address
1420 LONDON ROAD, SUITE 202, DULUTH, MN 55805
(218) 724-3411
(218) 724-3408
Mailing address
1420 LONDON ROAD, SUITE 202, DULUTH, MN 55805
(218) 724-3411
(218) 724-3408
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065T6NO
BLUECROSS AND BLUESHIELD
MN
01
—
065T6NO
FIRST PLAN OF MINNESOTA
—
01
—
167970
UCARE
—
01
—
83860
HEALTH PARTNERS
—
01
—
CJ5768
RAILROAD MEDICARE
MN
Enumeration date
11/09/2006
Last updated
06/24/2010
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