Full Name | |
---|---|
Speciality | Family Medicine |
Location | 320 3rd Ave, Albany, Minnesota |
Authorized Official Name and Position | Nick Brandner (ADMINISTRATOR) |
Authorized Official Contact | 3208456100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
320 3rd Ave Albany MN 56307-9363 Ph: (320) 845-2157 | 320 3rd Ave Albany MN 56307-9363 Ph: (320) 845-2157 |
NPI Number | 1093753642 |
---|---|
Provider Enumeration Date | 06/04/2006 |
Last Update Date | 04/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093753642 | NPI | - | NPPES |
48898AL | Other | MN | BLUE CROSS |
567450600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |