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Contact Information

MARY J BOYLAN, MD
920 E 1ST ST
STE 303
DULUTH, MN55805-2201
 Phone: 218-249-6050
 Fax: 218-249-6055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARY J BOYLAN · (Female)

NPI # 1851343131
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 08/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 38670
  • NH License # 33516
  • MN Medicaid 201716400
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    512 SKYLINE BOULEVARD
    CLOQUET, MN 55720
  • ST LUKES HOSPITAL - (Acute Care)
    915 EAST 1ST STREET
    DULUTH, MN 55805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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