Individual
MARY ELLEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
32 E 1ST ST, DULUTH, MN 55802-3005
(218) 727-3352
Mailing address
3924 E SKYLINE PKWY, DULUTH, MN 55804-1440
(218) 525-5599
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
OWE104284756
MN
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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