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717 S State St Suite 800 Fairmont MN 56031-4469 | |
(507) 238-9533 | |
(507) 235-8561 |
Full Name | |
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Speciality | Family Medicine |
Location | 717 S State St, Fairmont, Minnesota |
Authorized Official Name and Position | Corey T Welchlin (PRESIDENT/OWNER) |
Authorized Official Contact | 5072384949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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717 S State St Suite 800 Fairmont MN 56031-4469 Ph: (507) 238-9533 | 717 S State St Suite 800 Fairmont MN 56031-4469 Ph: (507) 238-9533 |
NPI Number | 1588900864 |
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Provider Enumeration Date | 12/14/2012 |
Last Update Date | 02/07/2013 |
Identifier | Type | State | Issuer |
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1588900864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mayo Clinic Health System-fairmont Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 | |
Integrity Medical Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S State St Ste 600, Fairmont, MN 56031 Phone: 507-235-2924 Fax: 507-235-2923 | |