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Individual

DR. PETER E KEBBEKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NH
207RH0003X
Hematology & Oncology Physician
Primary
56185
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245406750
MI
05
1245406750
MN
05
1245406750
WI
Enumeration date
05/05/2008
Last updated
07/21/2022
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