Full Name | |
---|---|
Speciality | Family Medicine |
Location | 320 3rd Ave, Albany, Minnesota |
Authorized Official Name and Position | Steven S. Smith (VP OF FINANCE) |
Authorized Official Contact | 3206315670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
108 Stratford St W Avon MN 56310-4506 Ph: (320) 356-7602 | 320 3rd Ave Albany MN 56307-9363 Ph: (320) 845-2157 |
NPI Number | 1275602955 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 06/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275602955 | NPI | - | NPPES |
176612100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |