Individual
DR. PETER ALAN WODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 E SUPERIOR ST, STE. 205, DULUTH, MN 55802-2124
(218) 249-4300
(218) 249-4350
Mailing address
26 E SUPERIOR ST, STE. 205, DULUTH, MN 55802-2124
(218) 249-4300
(218) 249-4350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39893
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529346400
—
MN
Enumeration date
01/11/2006
Last updated
12/08/2020
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