Libertas Family Medicine Pc | |
210 1st St Se Little Falls MN 56345-3004 | |
(000) 000-0000 | |
Not Available |
Full Name | Libertas Family Medicine Pc |
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Speciality | Family Medicine |
Location | 210 1st St Se, Little Falls, Minnesota |
Authorized Official Name and Position | Jennifer Wesenberg (CEO) |
Authorized Official Contact | 5078379873 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Libertas Family Medicine Pc 210 1st St Se Little Falls MN 56345-3004 Ph: () - | Libertas Family Medicine Pc 210 1st St Se Little Falls MN 56345-3004 Ph: (000) 000-0000 |
NPI Number | 1235900705 |
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Provider Enumeration Date | 01/12/2024 |
Last Update Date | 09/23/2024 |
Medicare PECOS PAC ID | 7810428877 |
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Medicare Enrollment ID | O20241001002421 |
Identifier | Type | State | Issuer |
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1235900705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jennifer Ann Wesenberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497064059 PECOS PAC ID: 2365676251 Enrollment ID: I20131008001467 |
Housecall Clinic P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 1st St Se Ste 102, Little Falls, MN 56345 Phone: 320-733-0174 | |
Unity Family Healthcare Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 2nd Se St., Ste A, Little Falls, MN 56345 Phone: 320-631-7200 Fax: 320-632-0534 |