Healthcare Provider Details

I. General information

NPI: 1073907291
Provider Name (Legal Business Name): JORDAN BLESSING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 E 2ND ST
DULUTH MN
55805
US

IV. Provider business mailing address

1012 E 2ND ST
DULUTH MN
55805-2200
US

V. Phone/Fax

Practice location:
  • Phone: 218-249-7870
  • Fax: 218-249-7801
Mailing address:
  • Phone: 218-249-7870
  • Fax: 218-249-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number63871
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: