Individual
DR. WILLIAM CHARLES VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
(218) 362-6907
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
(218) 262-3025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
53670
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020013501
RRMC
IA
05
—
1012039
—
IA
05
—
1285601542
—
IA
01
—
70238
BLUE SHIELD
IA
01
—
P00424578
RR MED
IA
Enumeration date
03/07/2006
Last updated
09/25/2013
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