| |
125 Frazee St E, Detroit Lakes, MN 56501-3501 | |
(218) 844-2300 | |
(218) 844-2444 |
Full Name | |
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Type | Facility |
Speciality | Physician Assistant |
Location | 125 Frazee St E, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1437228574 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 727, Detroit Lakes, MN 56502-0727 Ph: (218) 844-2300 | 125 Frazee St E, Detroit Lakes, MN 56501-3501 Ph: (218) 844-2300 |