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7636 Design Rd Ste 125a Baxter MN 56425-8693 | |
| (218) 513-6300 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 7636 Design Rd Ste 125a, Baxter, Minnesota |
| Authorized Official Name and Position | Twilla Oskey (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2185136300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
7636 Design Rd Ste 125a Baxter MN 56425-8693 Ph: (218) 513-6300 | 7636 Design Rd Ste 125a Baxter MN 56425-8693 Ph: (218) 513-6300 |
| NPI Number | 1114786639 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 3870031727 |
|---|---|
| Medicare Enrollment ID | O20240810000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114786639 | NPI | - | NPPES |
| Provider Name | Twilla F Oskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265998207 PECOS PAC ID: 3476880014 Enrollment ID: I20240810000369 |
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