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1200 6th Ave N Saint Cloud MN 56303-2735 | |
(320) 252-5131 | |
(320) 240-2118 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1200 6th Ave N, Saint Cloud, Minnesota |
Authorized Official Name and Position | Michael Blair (CFO) |
Authorized Official Contact | 3202555665 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1725 Pine Cone Rd S Suite 101 Sartell MN 56377-5801 Ph: (320) 656-7129 | 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 252-5131 |
NPI Number | 1538696323 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 02/20/2023 |
Identifier | Type | State | Issuer |
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1538696323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Minnesota) | Primary |
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