Individual
DR. MAXINE CAMILLE SEALES KASANGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-1183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60891
MN
207RI0200X
Infectious Disease Physician
Primary
60891
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2010
Last updated
11/10/2016
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