| Doctor Name: | DIANE MAE KOLQUIST |
| NPI Number: | 1013013572 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2589-033 |
| Business Practice Address: | 400 E 3rd St Duluth, MN - 558051951 |
| Business Phone Number: | 2187868364 |
| Business Fax Number: | |
| Mailing Address: | 400 E 3rd St, DULUTH |
| State: | MN |
| Postal Code: | 558051951 |
| Phone Number: | 2187868364 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 04/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SM0705X |
| License Number: | 2589-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |