Duluth Kidney Services LLC

NPI #1972552156 in Duluth, Minnesota

Provider Information

NPI Number: 1972552156
Entity Type: Organization
Organization Name: Duluth Kidney Services LLC
Primary Specialty: Specialist
Enumeration Date: May 8, 2006
Last Updated: Nov 11, 2008

Practice Location

Address: 925 E SUPERIOR ST
Address 2: SUITE 106
City: Duluth
State: Minnesota
ZIP Code: 55802
Phone: (218) 249-6230

Authorized Official

Name: DR. SANDY POPHAM, MD
Title: OWNER MD
Phone: (218) 249-6230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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