Individual
VINEETHA JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259922
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
65164
MN
Other
Enumeration date
07/02/2014
Last updated
06/06/2019
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