Organization
NORTHLAND OB-GYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A SEBASTIAN MD (PARTNER)
(218) 722-5629
Entity
Organization
Contact information
Practice address
1000 E 1ST ST, STE LL, DULUTH, MN 55805-2297
(218) 722-5629
(218) 722-5148
Mailing address
1000 E 1ST ST, STE LL, DULUTH, MN 55805-2297
(218) 722-5629
(218) 722-5148
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111066
UCARE
MN
05
—
32653200
—
WI
01
—
75267DU
BCBSM
ME
01
—
95007
TRICARE
—
Enumeration date
11/01/2006
Last updated
08/22/2020
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