| Essentia Health St. Mary's - Frazee Clinic | |
|
300 Main Ave E Frazee MN 56544 | |
| (218) 334-7255 | |
| Not Available |
| Full Name | Essentia Health St. Mary's - Frazee Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Main Ave E, Frazee, Minnesota |
| Authorized Official Name and Position | Tanner Goodrich (PRESIDENT) |
| Authorized Official Contact | 2188475611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health St. Mary's - Frazee Clinic 1027 Washington Ave Detroit Lakes MN 56501-3409 Ph: (218) 334-7255 | Essentia Health St. Mary's - Frazee Clinic 300 Main Ave E Frazee MN 56544 Ph: (218) 334-7255 |
| NPI Number | 1275977928 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275977928 | NPI | - | NPPES |
| 892442000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dakota Clinic, Ltd. - Frazee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Main Ave, Frazee, MN 56544 Phone: 218-334-7255 Fax: 218-844-2444 | |
Essentia Health St. Mary's-frazee Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 E Main Ave, Frazee, MN 56544 Phone: 218-334-7255 Fax: 218-334-4068 |