Individual
LEE ALAN MUSKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13060 ISLE DRIVE, BAXTER, MN 56425
(218) 828-2880
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-3814
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
39671
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32328900
—
WI
05
—
665320100
—
MN
Enumeration date
07/06/2006
Last updated
09/10/2018
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