Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, | |
1700 Highway 25 N Buffalo MN 55313-1930 | |
(763) 682-1313 | |
(763) 684-3790 |
Full Name | Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, |
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Speciality | Clinic/Center |
Location | 1700 Highway 25 N, Buffalo, Minnesota |
Authorized Official Name and Position | Jason S Halvorson (PRESIDENT) |
Authorized Official Contact | 7632952921 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, 1700 Highway 25 N Buffalo MN 55313-1930 Ph: (763) 682-1313 | Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, 1700 Highway 25 N Buffalo MN 55313-1930 Ph: (763) 682-1313 |
NPI Number | 1184664674 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 08/12/2016 |
Medicare PECOS PAC ID | 1153233796 |
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Medicare Enrollment ID | O20031103000458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184664674 | NPI | - | NPPES |
222310400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 520 (Minnesota) | Primary |
Provider Name | Arati K Gudage |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154347953 PECOS PAC ID: 6608778725 Enrollment ID: I20040121000202 |
Provider Name | Dale E Lawrence |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760403562 PECOS PAC ID: 6305737297 Enrollment ID: I20040322000667 |
Provider Name | Jason S Halvorson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033139159 PECOS PAC ID: 2860304300 Enrollment ID: I20040430000145 |
Provider Name | Ositadimma C Ugwu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013989417 PECOS PAC ID: 0042281628 Enrollment ID: I20040805000792 |
Provider Name | Michael D Oborsky |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053477406 PECOS PAC ID: 3173504867 Enrollment ID: I20041115000059 |
Provider Name | Joy L Westerdahl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922089937 PECOS PAC ID: 1951293802 Enrollment ID: I20050523000184 |
Provider Name | Corey L Martin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447272760 PECOS PAC ID: 8729071196 Enrollment ID: I20050610000126 |
Provider Name | Teresa E Wrobbel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912916933 PECOS PAC ID: 8224940762 Enrollment ID: I20050711000161 |
Provider Name | Joseph Kyle Mahoney |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1245244003 PECOS PAC ID: 5193758977 Enrollment ID: I20050913000421 |
Provider Name | Deborah L Mahoney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376565176 PECOS PAC ID: 3375500291 Enrollment ID: I20051229000136 |
Provider Name | Marisa D Moline |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962425082 PECOS PAC ID: 0749296705 Enrollment ID: I20060228000520 |
Provider Name | Kari J Fabian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700816378 PECOS PAC ID: 7810063864 Enrollment ID: I20080827000727 |
Provider Name | Franklin O Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235303793 PECOS PAC ID: 0446314991 Enrollment ID: I20090127000617 |
Provider Name | Mark D Nelson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487656344 PECOS PAC ID: 1052476439 Enrollment ID: I20090616000334 |
Provider Name | Natalie R Roeser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497928337 PECOS PAC ID: 4385780154 Enrollment ID: I20091008000060 |
Provider Name | Jolyn S Halvorson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659391779 PECOS PAC ID: 3476680935 Enrollment ID: I20100415000255 |
Provider Name | Glenn G Nemec |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578578068 PECOS PAC ID: 1153233606 Enrollment ID: I20100511000077 |
Provider Name | Kristina A Loken |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1609898444 PECOS PAC ID: 3173613643 Enrollment ID: I20100511000206 |
Provider Name | Janice C Pletsch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336155928 PECOS PAC ID: 0941112494 Enrollment ID: I20100511000313 |
Provider Name | Rajan Jhanjee |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1871513929 PECOS PAC ID: 8729178298 Enrollment ID: I20100511000658 |
Provider Name | Glen A Deutsch |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134148851 PECOS PAC ID: 2365354909 Enrollment ID: I20100511000690 |
Provider Name | Bernice M Kolb |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740200625 PECOS PAC ID: 5991617433 Enrollment ID: I20100511000762 |
Provider Name | Cynthia L Larson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013938802 PECOS PAC ID: 1355253899 Enrollment ID: I20100922000910 |
Provider Name | William J Affeldt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013950203 PECOS PAC ID: 4587856968 Enrollment ID: I20101004000692 |
Provider Name | Megan Otis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437392586 PECOS PAC ID: 3779752464 Enrollment ID: I20110815000564 |
Provider Name | Matthew F Hoffman |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1780848440 PECOS PAC ID: 5395916415 Enrollment ID: I20110922000037 |
Provider Name | Sarah R Janzen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831472661 PECOS PAC ID: 2365617511 Enrollment ID: I20111216000135 |
Provider Name | Abby Rae Labounty |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528359452 PECOS PAC ID: 9032365101 Enrollment ID: I20120806000020 |
Provider Name | Anne M Pribyl |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447506126 PECOS PAC ID: 8527218643 Enrollment ID: I20121026000351 |
Provider Name | James Christopher Lorge |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376749192 PECOS PAC ID: 7719134865 Enrollment ID: I20130827000196 |
Provider Name | Donnetta L Wallace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922436914 PECOS PAC ID: 5799912895 Enrollment ID: I20131217001429 |
Provider Name | Teresa J Devine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255771911 PECOS PAC ID: 3375769110 Enrollment ID: I20140730002710 |
Provider Name | Lynn N Lampi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801202932 PECOS PAC ID: 5991027088 Enrollment ID: I20141126001256 |
Provider Name | Mallory L Gustin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437542016 PECOS PAC ID: 1456670066 Enrollment ID: I20150504001004 |
Provider Name | Carla M Schultz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003100595 PECOS PAC ID: 7517257157 Enrollment ID: I20160609001507 |
Provider Name | Christopher D Elness |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649622200 PECOS PAC ID: 8426337205 Enrollment ID: I20161118000658 |
Provider Name | Jessica A Borgstrom |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1467994962 PECOS PAC ID: 0840572236 Enrollment ID: I20170119001657 |
Provider Name | Danielle M Schirm |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447513072 PECOS PAC ID: 7911141858 Enrollment ID: I20170726001928 |
Provider Name | Heidi Renae Nichol |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538514658 PECOS PAC ID: 9931489895 Enrollment ID: I20170812000338 |
Provider Name | Beth D Brinkman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558717587 PECOS PAC ID: 1850683699 Enrollment ID: I20180103001681 |
Provider Name | Lindsey C Latteman Fensch |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1891108627 PECOS PAC ID: 2163771262 Enrollment ID: I20180823000347 |
Provider Name | Amanda R Zehrer |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699174508 PECOS PAC ID: 4981954633 Enrollment ID: I20180830002023 |
Provider Name | Emily M Lawrence |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124515986 PECOS PAC ID: 2567710270 Enrollment ID: I20190808001353 |
Provider Name | Kari J Standfuss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750941324 PECOS PAC ID: 1658609946 Enrollment ID: I20190823003005 |
Provider Name | Jacquelyn Harman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992233993 PECOS PAC ID: 8022388966 Enrollment ID: I20200915000040 |
Provider Name | Cory R Simning |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689171894 PECOS PAC ID: 9032466453 Enrollment ID: I20210825003818 |
Provider Name | Cassandra Marie Hirman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255116554 PECOS PAC ID: 1951758200 Enrollment ID: I20231108003264 |
Provider Name | Christina Valerie Keske |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649036013 PECOS PAC ID: 3173960481 Enrollment ID: I20240322000509 |
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