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921 Greeley Street Stillwater MN 55082 | |
| (651) 439-1234 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 921 Greeley Street, Stillwater, Minnesota |
| Authorized Official Name and Position | Lisa Bjorkman (DIRECTOR) |
| Authorized Official Contact | 9528837469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1309 Mailstop 21110q Minneapolis MN 55440-1309 Ph: () - | 921 Greeley Street Stillwater MN 55082 Ph: (651) 439-1234 |
| NPI Number | 1578932943 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578932943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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