# NORTHLAND GASTROENTEROLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164592770
- **Authorized official:** DANIEL PAUL MCKEE MD (PRESIDENT)
- **Authorized official phone:** (218) 724-3411

## Contact information

- **Practice address:** 1420 LONDON ROAD, SUITE 202, DULUTH, MN 55805
- **Practice address phone:** (218) 724-3411
- **Practice address fax:** (218) 724-3408
- **Mailing address:** 1420 LONDON ROAD, SUITE 202, DULUTH, MN 55805
- **Mailing address phone:** (218) 724-3411
- **Mailing address fax:** (218) 724-3408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/24/2010

## 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 |