Unknown Individual – Psychiatry Physician, NPI 1619928173
Psychiatry Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
220, North 6th Avenue East, Duluth, Saint Louis County, Minnesota, 55805, United States
DULUTH, MN 558051952
Phone: (218) 249-7000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MN | 90792 | Psychiatric diagnostic evaluation with medical services | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WI | |
| - | MN | |
| Vascular Surgery | IL | |
| Internal Medicine | MN | |
| Emergency Medicine | MN | |
| - | MN | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN |
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