Individual
JOHN MCDONALD STREITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36116
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
36116
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31892400
—
WI
05
—
339507300
—
MN
Enumeration date
07/18/2006
Last updated
05/09/2011
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