Basic Information
| Provider Information | |||||||||
| NPI: | 1861484875 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HEMENWAY | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 N 34TH ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | SUPERIOR | ||||||||
| State: | WI | ||||||||
| PostalCode: | 548804477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7153955380 | ||||||||
| FaxNumber: | 7153942682 | ||||||||
| Practice Location | |||||||||
| Address1: | 4325 GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | DULUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 558072730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187221497 | ||||||||
| FaxNumber: | 2187226239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2005 | ||||||||
| LastUpdateDate: | 11/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 63197 | WI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 23548 | MN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.