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Individual

DR. MARGUERITE M CHIOVITTI PODGORSEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
FOND DU LAC HUMAN SERVICES DIVISION, 927 TRETTEL LANE, CLOQUET, MN 55720
(218) 879-1227
(218) 878-2188
Mailing address
7718 SAINT LOUIS RIVER RD, DULUTH, MN 55810-1101
(218) 624-3725

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D9650
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
773822600
MN
Enumeration date
01/17/2007
Last updated
03/07/2023
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