| Centracare Clinic - Lifestyle Health | |
|
2001 Stockinger Drive Suite 101 St Cloud MN 56303 | |
| (320) 251-2700 | |
| (320) 656-7009 |
| Full Name | Centracare Clinic - Lifestyle Health |
|---|---|
| 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 |
|---|---|
| Centracare Clinic - Lifestyle Health 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 252-5131 | Centracare Clinic - Lifestyle Health 2001 Stockinger Drive Suite 101 St Cloud MN 56303 Ph: (320) 251-2700 |
| NPI Number | 1770020489 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770020489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Minnesota) | Primary |
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