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Organization

NORTHLAND EAR, NOSE & THROAT ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MARK CHOQUETTE M.D. (CEO)
(218) 279-6279
Entity
Organization

Contact information

Practice address
920 E 1ST STREET, SUITE 301, DULUTH, MN 55805
(218) 279-6279
(218) 279-6280
Mailing address
920 E 1ST STREET, SUITE 301, DULUTH, MN 55805
(218) 279-6279
(218) 279-6280

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
460
MN
207Y00000X
Otolaryngology Physician
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3648109
MN
Enumeration date
11/11/2005
Last updated
01/02/2015
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