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1217 8th St N New Ulm MN 56073-1552 | |
(507) 217-5011 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1217 8th St N, New Ulm, Minnesota |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 43 Mr 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | 1217 8th St N New Ulm MN 56073-1552 Ph: (507) 217-5011 |
NPI Number | 1619911658 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 03/22/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20100930037096 |
Identifier | Type | State | Issuer |
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1619911658 | NPI | - | NPPES |