Individual
CONSTANCE JEANNE DERUNGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S LAKE AVE, SUITE 222, DULUTH, MN 55802-2300
(218) 279-8372
Mailing address
525 S LAKE AVE, SUITE 222, DULUTH, MN 55802-2300
(218) 279-8372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 069317-4
MN
163W00000X
Registered Nurse
—
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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