Individual
WILSON L GINETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC, DULUTH, MN 55805-1951
(218) 786-3146
Mailing address
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38692
MN
207RI0011X
Interventional Cardiology Physician
Primary
38692
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34512700
—
WI
Enumeration date
05/28/2006
Last updated
01/06/2017
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