Individual
JAMES ALBERT SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E 1ST ST, SUITE LL, DULUTH, MN 55805-2297
(218) 249-4700
(218) 722-5148
Mailing address
1000 E 1ST ST, SUITE LL, DULUTH, MN 55805-2297
(218) 249-4700
(218) 722-5148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23222
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0715428
MEDICA
—
01
—
111077
UCARE
—
01
—
14581SE
BLUE CROSS OF MN
—
01
—
346003
PREFERRED ONE
—
05
—
531088100
—
MN
01
—
A004
TRICARE
—
01
—
HP22611
HEALTH PARTHNERS
—
Enumeration date
03/14/2006
Last updated
04/16/2013
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