| |
1400 Jefferson Rd Northfield MN 55057-3081 | |
(507) 663-9000 | |
(651) 241-0775 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1400 Jefferson Rd, Northfield, 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 | 1400 Jefferson Rd Northfield MN 55057-3081 Ph: (507) 663-9000 |
NPI Number | 1649576380 |
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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 | O20120228000390 |
Identifier | Type | State | Issuer |
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1649576380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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