Individual
KRISTA U WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44497
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035003
PREFERRED ONE
MN
01
—
1100335
MEDICA
MN
05
—
34446600
—
WI
05
—
483915300
—
MN
01
—
625S6WA
BLUES
MN
01
—
P00061181
RR MEDICARE
MN
Enumeration date
01/11/2007
Last updated
05/31/2016
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