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621 S 4th St Le Sueur MN 56058-2203 | |
(507) 665-3375 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 621 S 4th St, Le Sueur, Minnesota |
Authorized Official Name and Position | Michael Phelps (PRESIDENT/CEO) |
Authorized Official Contact | 9524422191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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621 S 4th St Le Sueur MN 56058-2203 Ph: () - | 621 S 4th St Le Sueur MN 56058-2203 Ph: (507) 665-3375 |
NPI Number | 1922694561 |
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Provider Enumeration Date | 12/17/2020 |
Last Update Date | 04/20/2022 |
Identifier | Type | State | Issuer |
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1922694561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Minnesota Valley Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 S 4th St, Le Sueur, MN 56058 Phone: 507-665-3375 Fax: 507-665-2191 |