Organization
LANGUAGE OF HAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAY ANN KUETTEL (PRESIDENT)
(218) 728-5111
Entity
Organization
Contact information
Practice address
1615 LONDON RD, DULUTH, MN 55812-1620
(218) 728-5111
Mailing address
1615 LONDON RD, DULUTH, MN 55812-1620
(218) 728-5111
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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