| Dakota Clinic, Ltd. - Wahpeton | |
|
275 11th St S Wahpeton ND 58075-4655 | |
| (701) 642-2000 | |
| (701) 671-4106 |
| Full Name | Dakota Clinic, Ltd. - Wahpeton |
|---|---|
| Speciality | Family Medicine |
| Location | 275 11th St S, Wahpeton, 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 |
|---|---|
| Dakota Clinic, Ltd. - Wahpeton 275 11th St S Wahpeton ND 58075-4655 Ph: (701) 642-2000 | Dakota Clinic, Ltd. - Wahpeton 275 11th St S Wahpeton ND 58075-4655 Ph: (701) 642-2000 |
| NPI Number | 1891746160 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891746160 | NPI | - | NPPES |
| 10174 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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