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110 Olsen Blvd Ne Cokato MN 55321-4359 | |
(320) 286-2123 | |
(320) 286-6294 |
Full Name | |
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Speciality | Clinic/Center |
Location | 110 Olsen Blvd Ne, Cokato, Minnesota |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 43 Mail Route 10585 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | 110 Olsen Blvd Ne Cokato MN 55321-4359 Ph: (320) 286-2123 |
NPI Number | 1386940187 |
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Provider Enumeration Date | 01/27/2011 |
Last Update Date | 01/22/2025 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20120229000130 |
Identifier | Type | State | Issuer |
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1386940187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |