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Organization
WOODLAND UROLOGY, PA
Active
Organization
WOODLAND UROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL KRIEGLER (OWNER)
(218) 742-8640
Entity
Organization
Contact information
Practice address
901 9TH ST N, SUITE 315, VIRGINIA, MN 55792-2325
(218) 742-8640
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163D1WO
BCBS
MN
Enumeration date
07/30/2006
Last updated
04/18/2008
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