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NPI Code Detail

MEDICARE: DR. DENVER N ULLAND MD

MEDICARE: DR. DENVER N ULLAND MD
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 Physician46303MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952354268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENVER N ULLAND MD
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 : 218-249-8828
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 : 218-249-8828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 12/04/2020

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Directions to “ DR. DENVER N ULLAND MD” Practice Location

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