Mankato Clinic @ Mapleton Family Practice | |
305 Main St E Mapleton MN 56065-2060 | |
(507) 524-3835 | |
Not Available |
Full Name | Mankato Clinic @ Mapleton Family Practice |
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Speciality | Family Medicine |
Location | 305 Main St E, Mapleton, Minnesota |
Authorized Official Name and Position | Randy Farrow (CEO) |
Authorized Official Contact | 8006576944 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mankato Clinic @ Mapleton Family Practice 1230 E Main St Po Box 8674 Mankato MN 56001-5066 Ph: (800) 657-6944 | Mankato Clinic @ Mapleton Family Practice 305 Main St E Mapleton MN 56065-2060 Ph: (507) 524-3835 |
NPI Number | 1104057926 |
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Provider Enumeration Date | 07/28/2009 |
Last Update Date | 07/13/2012 |
Identifier | Type | State | Issuer |
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1104057926 | NPI | - | NPPES |
396510400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |