Organization
THE DULUTH CLINIC, LTD
Active
Organization
THE DULUTH CLINIC, LTD
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Lakewalk Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
1502 LONDON RD STE 102, DULUTH, MN 55812-1787
(218) 576-0100
(218) 576-0126
Mailing address
1502 LONDON RD STE 102, DULUTH, MN 55812-1787
(218) 576-0100
(218) 576-0126
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275839193
—
MN
Enumeration date
02/10/2011
Last updated
02/28/2024
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