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30535 241st Ave Browerville MN 56438 | |
(320) 594-2231 | |
(218) 898-7592 |
Full Name | |
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Speciality | Clinic/Center |
Location | 30535 241st Ave, Browerville, Minnesota |
Authorized Official Name and Position | Craig T Wolhowe (VICE PRESIDENT) |
Authorized Official Contact | 2188948600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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49725 County 83 Staples MN 56479-5280 Ph: (218) 894-1515 | 30535 241st Ave Browerville MN 56438 Ph: (320) 594-2231 |
NPI Number | 1902897077 |
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Provider Enumeration Date | 10/28/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 1052229671 |
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Medicare Enrollment ID | O20021018000006 |
Identifier | Type | State | Issuer |
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1902897077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Minnesota) | Primary |