Individual
GREGORY MARK DUBLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,CRNA
Contact information
Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 783-8364
Mailing address
400 EAST 3RD STREET, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805
(218) 783-8364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
108993
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
R1005525
MN
Other
Enumeration date
08/18/2005
Last updated
01/24/2014
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