The Duluth Clinic, Ltd

NPI #1619118759 in Ashland, Wisconsin

Provider Information

NPI Number: 1619118759
Entity Type: Organization
Organization Name: The Duluth Clinic, Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 19, 2009
Last Updated: Apr 9, 2010

Practice Location

Address: 1913 BEASER AVE
City: Ashland
State: Wisconsin
ZIP Code: 54806-3604
Phone: (715) 682-4333

Authorized Official

Name: MICHAEL C METCALF
Title: EVP
Phone: (218) 786-2642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Nephrology — Nephrology	207RN0300X
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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