Individual
DR. PHYLLIS NOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1924 DUNEDIN AVE, DULUTH, MN 55803-2400
(218) 724-6083
Mailing address
1200 E 25TH ST, HIBBING, MN 55746-3897
(218) 312-3002
(218) 263-8933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
44321
MN
2085R0202X
Diagnostic Radiology Physician
Primary
MN44231
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087K5NO
BLUE CROSS BLUE SHIELD
MN
01
—
1602543
MEDICA
MN
01
—
164104
UCARE
MN
01
—
H100320262
MEDICARE
MN
01
—
P00043495
RAILROAD MEDICARE
MN
Enumeration date
09/27/2006
Last updated
07/21/2022
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