Wodrich, Peter Alan

Wodrich, Peter Alan is an individual health care provider with primary practice located at 26 E Superior St Ste. 205, Duluth MN 55802-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wodrich, Peter Alan can be contacted via phone (218) 249-4300.

Contact Information

Primary practice address
26 E Superior St Ste. 205 Duluth MN 55802-2124
Phone: (218) 249-4300
Fax: (218) 249-4350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39893 Minnesota

Profile Details

NPI number 1093794794
LBN Legal business name Wodrich, Peter Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093794794 NPPES
Minnesota MEDICAID 529346400

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