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NPI Code Detail

MEDICARE: ST. LUKE'S HOSPITAL OF DULUTH

MEDICARE: ST. LUKE'S HOSPITAL OF DULUTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1851343925
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. LUKE'S HOSPITAL OF DULUTH
Provider Business Mailing Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-8800
Fax Number :
Provider Business Practice Location Address
First Line : 1400 WOODLAND AVE
Second Line :
City : DULUTH
State : MN
Zip : 55803-2624
Country : US
Telephone Number : 218-249-8800
Fax Number :
Authorized Official
Title or Position : VP COMPLIANCE
Name : KATHERINE BECKER
Credential :
Telephone Number : 218-249-5555
Provider Enumeration Date : 05/17/2006
Last Update Date : 05/22/2024

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Directions to “ST. LUKE'S HOSPITAL OF DULUTH ” Practice Location

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