Provider First Line Business Practice Location Address: 
400 E 3RD ST
    Provider Second Line Business Practice Location Address: 
ESSENTIA HEALTH DULUTH CLINIC
    Provider Business Practice Location Address City Name: 
DULUTH
    Provider Business Practice Location Address State Name: 
MN
    Provider Business Practice Location Address Postal Code: 
55805-1951
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
218-786-8364
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
12/05/2014