Organization
THE DULUTH CLINIC, LTD
Active
Other names
Virginia West Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SMYLIE (EX. VP & SR. OFFICER DC OPERATIONS)
(218) 786-2625
Entity
Organization
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2348
(218) 749-7953
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2348
(218) 749-7953
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2006
Last updated
08/22/2020
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