Organization · Type 2 NPI

The Duluth Clinic, Ltd

Multi-Specialty Clinic/Center · Proctor, MN

NPI number 1902103831 Active

Practice location

211 S Boundary Ave
Proctor, MN 55810-2306

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

20 other providers at this address

NPI record

NPI: 1902103831
Entity type: Organization (Type 2)
Issued: Feb 11, 2011
Last updated: Feb 28, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

<unavail>
Essentia Health Proctor Clinic · doing business as
Essentia Health Proctor Clinic · doing business as

Authorized official

Kevin Boren
VP of Finance
(218) 786-1009

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1902103831

The Duluth Clinic, Ltd's National Provider Identifier is 1902103831, issued on Feb 11, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Proctor, MN. The record was last updated on Feb 28, 2024.