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Organization
UNIVERISTY OF MINNESOTA DULUTH
Active
Organization
UNIVERISTY OF MINNESOTA DULUTH
Active
Other names
UMD Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH BERLO (ASST ATH DIR FOR SPORTS MEDICINE)
(218) 726-8637
Entity
Organization
Contact information
Practice address
1216 ORDEAN CT, DULUTH, MN 55812-3032
(218) 726-8709
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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