| Dakota Clinic, Ltd. - Detroit Lakes | |
|
125 Frazee St E Detroit Lakes MN 56501-3501 | |
| (218) 844-2300 | |
| (218) 844-2444 |
| Full Name | Dakota Clinic, Ltd. - Detroit Lakes |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Frazee St E, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Larry G Solberg (ADMINISTRATOR-AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7013643405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Clinic, Ltd. - Detroit Lakes Po Box 727 Detroit Lakes MN 56502-0727 Ph: (218) 844-2300 | Dakota Clinic, Ltd. - Detroit Lakes 125 Frazee St E Detroit Lakes MN 56501-3501 Ph: (218) 844-2300 |
| NPI Number | 1104877455 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104877455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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