Individual
JOSEFINO CALIBO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44952
MN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
44952
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442858700
—
MN
Enumeration date
06/29/2006
Last updated
06/22/2020
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