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705 Pleasant Ave S Park Rapids MN 56470-1440 | |
(218) 732-2800 | |
(218) 732-2857 |
Full Name | |
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Speciality | Family Medicine |
Location | 705 Pleasant Ave S, Park Rapids, 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 |
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Po Box 6001 Fargo ND 58108-6001 Ph: (701) 364-3300 | 705 Pleasant Ave S Park Rapids MN 56470-1440 Ph: (218) 732-2800 |
NPI Number | 1124079488 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1124079488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Enlightenment Psychiatry Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 1st St E Ste 5, Park Rapids, MN 56470 Phone: 320-321-9599 Fax: 877-962-3624 | |