Individual
LYNN ELMO QUENEMOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207Q00000X
Family Medicine Physician
25066
MN
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
25066
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528319100
—
MN
Enumeration date
08/09/2006
Last updated
06/02/2011
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