Organization
WATERSTONE CLINIC P.C.
Active
Organization
WATERSTONE CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PETER BAMBENEK MD (MEDICAL DIRECTOR)
(218) 727-4531
Entity
Organization
Contact information
Practice address
314 W SUPERIOR ST, SUITE 902, DULUTH, MN 55802-1805
(218) 727-4531
(218) 727-4211
Mailing address
314 W SUPERIOR ST, SUITE 902, DULUTH, MN 55802-1805
(218) 727-4531
(218) 727-4211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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