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501 Main Ave S Hankinson ND 58041-4108 | |
(701) 242-7118 | |
(701) 242-7028 |
Full Name | |
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Speciality | Family Medicine |
Location | 501 Main Ave S, Hankinson, North Dakota |
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 |
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275 11th St S Wahpeton ND 58075-4655 Ph: (701) 642-2000 | 501 Main Ave S Hankinson ND 58041-4108 Ph: (701) 242-7118 |
NPI Number | 1457302176 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457302176 | NPI | - | NPPES |
10174 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |