Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 30 Railroad Ave, Albany, Minnesota |
Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
Authorized Official Contact | 3202555665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 845-2157 | 30 Railroad Ave Albany MN 56307 Ph: (320) 845-2157 |
NPI Number | 1457726549 |
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Provider Enumeration Date | 12/01/2015 |
Last Update Date | 11/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457726549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Minnesota) | Primary |