Individual
KRISTIN JO LUSIAN SALINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4212 GRAND AVE, ESSENTIA HEALTH WEST DULUTH CLINIC, DULUTH, MN 55807-2737
(218) 786-3500
Mailing address
2814 SNOWY OWL CIR, DULUTH, MN 55804-1189
(218) 428-7355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53083
MN
207Q00000X
Family Medicine Physician
57448
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-42322
MEDICA
—
01
—
1770717795
BCBS
—
05
—
1770717795
—
MN
01
—
P00860773
RR MEDICARE
—
Enumeration date
05/05/2009
Last updated
01/23/2025
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