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2001 Stockinger Drive Suite 101 St Cloud MN 56303 | |
(320) 251-2700 | |
(320) 656-7009 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 2001 Stockinger Drive, St Cloud, Minnesota |
Authorized Official Name and Position | Thomas M Feldhege (DIRECTOR OF FINANCE AND TREASURER) |
Authorized Official Contact | 3202402152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 252-5131 | 2001 Stockinger Drive Suite 101 St Cloud MN 56303 Ph: (320) 251-2700 |
NPI Number | 1770020489 |
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Provider Enumeration Date | 01/20/2017 |
Last Update Date | 05/11/2017 |
Identifier | Type | State | Issuer |
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1770020489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (Minnesota) | Primary |