Organization
NORTHLAND UROLOGY ASSO. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON P ZADINA M.D. (PRESIDENT)
(218) 727-8414
Entity
Organization
Contact information
Practice address
1000 E 1ST ST STE 306, DULUTH, MN 55805-2297
(218) 727-8414
(218) 727-8416
Mailing address
1000 E 1ST ST STE 306, DULUTH, MN 55805-2297
(218) 727-8414
(218) 727-8416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4298977
—
MN
Enumeration date
07/14/2006
Last updated
08/22/2020
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