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Individual

DR. CAROL JUNE FARCHMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1502 LONDON RD, SUITE 102, DULUTH, MN 55812-1788
(218) 576-0100
(218) 576-0126
Mailing address
1502 LONDON RD, SUITE 102, DULUTH, MN 55812-1788
(218) 727-8228
(218) 727-7771

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26944
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080117798
RAILROAD MEDICARE
MN
05
1275568156
MI
05
1275568156
WI
05
506063000
MN
Enumeration date
07/11/2006
Last updated
12/16/2011
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