Individual
DEAN MICHAEL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34527
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
34527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156875200
—
MN
05
—
32094900
—
WI
Enumeration date
07/06/2006
Last updated
08/14/2018
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