Individual
MICHAEL T SEMOTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
(218) 362-6699
Mailing address
23 W CENTRAL ENTRANCE # 160, DULUTH, MN 55811-3433
(218) 722-3700
(218) 722-8705
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
41528
MN
2085N0700X
Neuroradiology Physician
41528
MN
2085N0904X
Nuclear Radiology Physician
41528
MN
2085R0202X
Diagnostic Radiology Physician
Primary
41528
MN
2085R0203X
Therapeutic Radiology Physician
41528
MN
2085R0204X
Vascular & Interventional Radiology Physician
41528
MN
2085U0001X
Diagnostic Ultrasound Physician
41528
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186318500
—
MN
05
—
34387800
—
WI
Enumeration date
01/03/2006
Last updated
06/23/2021
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