Individual
DR. STACY A COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5353
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5353
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37095
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843222800
—
MN
Enumeration date
05/12/2006
Last updated
12/04/2020
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