Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 71 South Dr, Babbitt, Minnesota |
Authorized Official Name and Position | Samuel Stone (COO) |
Authorized Official Contact | 2187499496 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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71 South Dr Babbitt MN 55706-3702 Ph: (218) 827-2176 | 71 South Dr Babbitt MN 55706-3702 Ph: (218) 827-2176 |
NPI Number | 1538107594 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 04/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538107594 | NPI | - | NPPES |
1538107594 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |