Individual
JOSEPH BETTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4000
(585) 473-3516
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-8319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60993
MN
207P00000X
Emergency Medicine Physician
66319-20
WI
Other
Enumeration date
04/06/2011
Last updated
02/17/2017
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