Forest Lake Skin And Vein Clinic | |
280 12th St Sw Suite A Forest Lake MN 55025-3778 | |
(651) 464-7273 | |
(651) 464-7969 |
Full Name | Forest Lake Skin And Vein Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 280 12th St Sw, Forest Lake, Minnesota |
Authorized Official Name and Position | Lesa Renae Stegner (PRESIDENT) |
Authorized Official Contact | 6514647273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Forest Lake Skin And Vein Clinic 280 12th St Sw Suite A Forest Lake MN 55025-3778 Ph: (651) 464-7273 | Forest Lake Skin And Vein Clinic 280 12th St Sw Suite A Forest Lake MN 55025-3778 Ph: (651) 464-7273 |
NPI Number | 1013153907 |
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Provider Enumeration Date | 12/23/2008 |
Last Update Date | 12/23/2008 |
Identifier | Type | State | Issuer |
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1013153907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Duncan Chiropractic Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 W Broadway Ave, Forest Lake, MN 55025 Phone: 651-464-4199 Fax: 651-464-4202 |