| Oshki Manidoo | |
|
1741 15th St Nw Bemidji MN 56601-8755 | |
| (218) 751-6553 | |
| (218) 751-1846 |
| Full Name | Oshki Manidoo |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1741 15th St Nw, Bemidji, Minnesota |
| Authorized Official Name and Position | Jeremy Syverson (ADMINISTRATOR) |
| Authorized Official Contact | 2187516553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oshki Manidoo 1741 15th St Nw Bemidji MN 56601-8755 Ph: (218) 751-6553 | Oshki Manidoo 1741 15th St Nw Bemidji MN 56601-8755 Ph: (218) 751-6553 |
| NPI Number | 1598129041 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598129041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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