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Individual

DR. GAIL ELAINE BALDWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 624-6584
(715) 392-1935
Mailing address
PO BOX 38, SOUTH RANGE, WI 54874-0038
(218) 624-6584
(715) 392-1901

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33475
MN
207Q00000X
Family Medicine Physician
40624 020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31850400
WI
01
33475
LICENSE
MN
01
40624 020
LICENSE
WI
05
756202100
MN
Enumeration date
03/31/2006
Last updated
12/05/2011
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