DR. LUKE DAVID WIDSTROM D.O.
NPI 1366886053
Family Medicine - Sports Medicine in Duluth, MN
NPI Status: Active since April 24, 2013
Contact Information
400 EAST THIRD STREET
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364
- Individual
- Male
- Years of Experience 13
- Family Medicine
- Sports Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LUKE WIDSTROM
This page provides the complete NPI Profile along with additional information for Luke Widstrom, a primary care provider established in Duluth, Minnesota with a medical specialization in Family Medicine, focusing in sports medicine and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1366886053 assigned on April 2013. The practitioner's primary taxonomy code is 207QS0010X with license number 58494 (MN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1366886053
- Provider Name
- DR. LUKE DAVID WIDSTROM D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805
- Location Phone
- (218) 786-8364
- Mailing Address
- 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC MCL2CRED DULUTH, MN 55805
- Mailing Phone
- (218) 786-8364
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-24-2013
- Last Update Date
- 05-03-2018
- Code Navigator
A primary care provider (PCP) like Luke Widstrom sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 58494
- License State
- MN
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | TL.0006261 (CO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - EPO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- Select $4,100 HDHP - EPO
- Select $5,000 - 40% - EPO
- Select $6,200 HDHP - EPO
- Select $7,500 - EPO
- Select $9,200 - EPO
- Select Protection - EPO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,300 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Luke Widstrom is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Luke Widstrom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648490185
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20141003000768
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection into tendon or ligament
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 45-59 minutes
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 128 times for 83 patientsThis procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 45 times for 24 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 113 times for 75 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 14 times for 13 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 106 times for 82 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 26 times for 21 patientsAn injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
This service was performed 27 times for 19 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 141 times for 21 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 15 times for 15 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 71 times for 71 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 21 times for 21 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.65 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55805 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Luke Widstrom is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | 402 EAST SECOND STREET DULUTH, MN 55805 | (218) 786-3574 | Acute Care Hospitals | |
| ESSENTIA HEALTH DULUTH | 502 EAST SECOND STREET DULUTH, MN 55805 | (218) 786-2652 | Acute Care Hospitals | |
| ESSENTIA HEALTH DEER RIVER | 115 10TH AVENUE NORTHEAST DEER RIVER, MN 56636 | (218) 246-4200 | Critical Access Hospitals | |
| ST MARYS HOSPITAL SUPERIOR | 3500 TOWER AVE SUPERIOR, WI 54880 | (715) 817-7000 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 8 | 8 | 6 | 0 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 16 | 8 | 12 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 6 + 8 + 1 + 2 + 0 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1366886053 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366646879 | MOSTAFA ABDUL-RAHMAN FARACHE MD Individual | Psychiatry & Neurology (Neurology) | 400 EAST THIRD STREET DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1760701882 | DANIEL CRAIG WOLBRINK MD Individual | Internal Medicine | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-8364 |
| 1710343165 | KELSEY ANN SELLNOW PA-C Individual | Physician Assistant | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1871810630 | ERIN MAUREEN CRIMMINS GRIMSBY M.D. Individual | Physical Medicine & Rehabilitation | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-8364 |
| 1215256409 | MARIA KATARZYNA BEAVER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1588756860 | MRS. VICKIE CATHERINE GRAVES RN, CNP Individual | Nurse Practitioner (Family) | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-3392 |
| 1104250257 | MICHELE MARIE DAVIS APRN, CNP Individual | Nurse Practitioner (Adult Health) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1962584706 | JOSE' D PANIAQUA PA-C, ATC Individual | Physician Assistant | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1336304971 | SARAH KATHERINE DAGGETT CPNP Individual | Nurse Practitioner (Pediatrics) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1316494891 | MALLORIE MARIE VAN WINKLE DPT Individual | Physical Therapist | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-5360 |
| 1770035933 | JESSICA ANN MCDONNELL Individual | Nurse Anesthetist, Certified Registered | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1699726752 | DR. CHRISTOPHER F. HECK MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-3900 |
| 1922055607 | WILSON L GINETE Individual | Internal Medicine (Interventional Cardiology) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-3146 |
| 1578665121 | ERIC M GRIFFITH RN, CFNP Individual | Nurse Practitioner (Family) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1760932487 | JACOB RYAN SWETTE LAC Individual | Acupuncturist | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1922517093 | MEGHAN EILEEN ROCHEFORT APRN, CNP Individual | Nurse Practitioner (Family) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1679876080 | TRACY FLYNN UDEEN APRN, CNS Individual | Clinical Nurse Specialist (Adult Health) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1609037035 | CHAD JAMES ST. GERMAIN M.D. Individual | Radiology (Diagnostic Radiology) | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-8364 |
| 1982024683 | GUNTHER WAGONER MD Individual | Internal Medicine | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-3146 |
| 1891107397 | LEE STOKES D.O. Individual | Anesthesiology | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-8364 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366886053, enumerated in the NPI registry as an "individual" on April 24, 2013
The provider is located at 400 East Third Street Essentia Health Duluth Clinic Duluth, Mn 55805 and the phone number is (218) 786-8364
The provider's speciality is Family Medicine with taxonomy code 207QS0010X with a focus in Sports Medicine
The provider has more than 13 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection into tendon or ligament, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes and New patient office or other outpatient visit, 45-59 minutes.
The practitioner is affiliated to the following hospital(s): ESSENTIA HEALTH ST MARY'S MEDICAL CENTER, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH DEER RIVER and ST MARYS HOSPITAL SUPERIOR. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 24, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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