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Individual

ADDIE CHRISTINE VITTORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 WOODLAND AVE, DULUTH, MN 55803-2624
(218) 249-8800
(218) 249-8828
Mailing address
1400 WOODLAND AVE, DULUTH, MN 55803-2624
(218) 249-8800
(218) 249-8828

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51985
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-37337
MEDICA
01
1225205149
BCBS MN
MN
01
1225205149
GROUP HEALTH
WI
05
1225205149
MN
01
P00767175
MEDICARE RAILROAD
Enumeration date
05/09/2008
Last updated
12/04/2020
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