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680 Pillsbury St N Pillager MN 56473 | |
(218) 746-4527 | |
(218) 746-4528 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 680 Pillsbury St N, Pillager, Minnesota |
Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
Authorized Official Contact | 2187861009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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680 Pillsbury St N Pillager MN 56473 Ph: (218) 746-4527 | 680 Pillsbury St N Pillager MN 56473 Ph: (218) 746-4527 |
NPI Number | 1891740957 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 02/27/2024 |
Identifier | Type | State | Issuer |
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1891740957 | NPI | - | NPPES |
589119100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 330736 (Minnesota) | Primary |