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23 Minnesota St S New Ulm MN 56073 | |
| (507) 359-7101 | |
| (651) 323-2053 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 23 Minnesota St S, New Ulm, Minnesota |
| Authorized Official Name and Position | Wade Lynn Lang (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5073597101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23 Minnesota St. S Po Box 68 New Ulm MN 56073 Ph: (507) 359-7101 | 23 Minnesota St S New Ulm MN 56073 Ph: (507) 359-7101 |
| NPI Number | 1962940338 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 09/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962940338 | NPI | - | NPPES |
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