| Organization Name: | THE DULUTH CLINIC, LTD |
| NPI Number: | 1235176058 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL METCALF (EX. VP & SR. OFFICER DC OPERATIONS) |
| Mailing Address: | 4855 W Arrowhead Rd Hermantown |
| State: | MN US |
| Postal Code: | 558113936 |
| Phone Number: | 2187863540 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |