Organization
NORTHERN PHYSICIAN SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RABIDEAUX (DIRECTOR OF FINANCE)
(218) 742-8662
Entity
Organization
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 742-8690
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
03/31/2008
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