Organization
KATHLEEN SULENTICH MD FACOG LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SULENTICH MD (OWNER)
(218) 741-6221
Entity
Organization
Contact information
Practice address
307 1ST ST S, SUITE 112, VIRGINIA, MN 55792-2696
(218) 741-6221
(218) 741-2550
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85263SU
BCBS
MN
Enumeration date
09/12/2006
Last updated
04/18/2008
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