Organization
HOME DIALYSIS DULUTH KIDNEY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDY SUE POPHAM M.D. (OWNER)
(218) 249-6230
Entity
Organization
Contact information
Practice address
925 E SUPERIOR ST, SUITE 106, DULUTH, MN 55802-2238
(218) 249-6230
(218) 249-6231
Mailing address
925 E SUPERIOR ST, SUITE 106, DULUTH, MN 55802-2238
(218) 249-6230
(218) 249-6231
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35304
MN
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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