KELLY UNDERBERG JOHNSON

DULUTH, MN
NPI1114157625
Former NameKELLY UNDERBERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MN  R 114150-2)
Enumeration Date2009-07-17
Last Update Date2011-06-20
Business Address
KELLY UNDERBERG JOHNSON CNP
400 E 3RD ST SMDC MEDICAL CENTER-DULUTH CLINIC
DULUTH, MN 55805-1951
Phone number: 218-786-3925
Mailing Address
KELLY UNDERBERG JOHNSON CNP
400 E 3RD ST SMDC MEDICAL CENTER-DULUTH CLINIC
DULUTH, MN 55805-1951
Phone number: 218-786-3925
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