Organization
ST MARY'S DULUTH CLINIC - VIRGINIA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISBETH WHITE (CLINIC ADMINISTRATOR)
(218) 741-0150
Entity
Organization
Contact information
Practice address
910 N 6TH AVE, VIRGINIA, MN 55792-2311
(218) 741-0150
Mailing address
912 14TH ST N, VIRGINIA, MN 55792-2255
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
MN
Other
Enumeration date
01/18/2006
Last updated
08/22/2020
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