John J Degelau
Geriatric Medicine
407 E 3rd St
Duluth
, Minnesota 55805-1950
John J Degelau
Geriatric Medicine
407 E 3rd St
Duluth
, Minnesota 55805-1950
(701) 364-4222
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- John J Degelau
- 1702 University Dr S
- Fargo, ND
- Zip : 58103-4940
- Phone : (701) 364-4222
Second Address
- John J Degelau
- 407 E 3rd St
- Duluth, MN
- Zip : 55805-1950
- Phone : (218) 786-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 28918 | MN |
National Provider Identifier
| NPI | 1063489375 |
|---|---|
| Provider Name | John J Degelau |
| First Address | Fargo, ND 58103-4940 |
| Second Address | Duluth, MN 55805-1950 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2006 |
| Last Update Date | 28/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D81834 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.