Individual
BRENDA LEE CARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 9TH STREET NORTH, DULUTH CLINIC - VIRGINIA, VIRGINIA, MN 55792
(218) 741-0150
(715) 588-7884
Mailing address
1101 9TH STREET NORTH, ESSENTIA HEALTH VIRGINIA CLINIC, VIRGINIA, MN 55792
(218) 741-0150
(715) 588-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53547
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053480103
BCBS
MN
01
—
1053480103
BCBS
WI
05
—
34743000
—
WI
Enumeration date
11/06/2006
Last updated
12/16/2011
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