Organization
NORTHLAND NEUROLOGY AND MYOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA MARSHALL (ADMINISTRATOR)
(218) 722-1122
Entity
Organization
Contact information
Practice address
130 7TH AVE W, FLOODWOOD, MN 55736-1200
(218) 722-1122
(218) 722-0600
Mailing address
130 7TH AVE W, FLOODWOOD, MN 55736-1200
(218) 722-1122
(218) 722-0600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1385
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32852300
—
WI
05
—
851984
—
MN
01
—
S1117
RAILROAD MEDICARE
—
Enumeration date
07/15/2006
Last updated
10/16/2025
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