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1285 Nininger Rd Hastings MN 55033-1086 | |
(651) 480-4200 | |
(651) 480-4306 |
Full Name | |
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Speciality | Family Medicine |
Location | 1285 Nininger Rd, Hastings, 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 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | 1285 Nininger Rd Hastings MN 55033-1086 Ph: (651) 480-4200 |
NPI Number | 1578869293 |
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Provider Enumeration Date | 01/27/2011 |
Last Update Date | 03/22/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20120228000249 |
Identifier | Type | State | Issuer |
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1578869293 | NPI | - | NPPES |
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