| Sanford Health Detroit Lakes Clinic | |
|
1245 Washington Ave Detroit Lakes MN 56501-3905 | |
| (218) 846-2000 | |
| (218) 846-2114 |
| Full Name | Sanford Health Detroit Lakes Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Martha K Leclerc (VP) |
| Authorized Official Contact | 7012346248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Detroit Lakes Clinic 1245 Washington Ave Detroit Lakes MN 56501-3905 Ph: (218) 846-2000 | Sanford Health Detroit Lakes Clinic 1245 Washington Ave Detroit Lakes MN 56501-3905 Ph: (218) 846-2000 |
| NPI Number | 1235170747 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235170747 | NPI | - | NPPES |
| 368818600 | Medicaid | MN |
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