Full Name | |
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Speciality | Family Medicine |
Location | 665 3rd St Sw, Perham, Minnesota |
Authorized Official Name and Position | Martha K Leclerc (VP) |
Authorized Official Contact | 7012346248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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665 3rd St Sw Perham MN 56573-1137 Ph: (218) 347-1200 | 665 3rd St Sw Perham MN 56573-1137 Ph: (218) 347-1200 |
NPI Number | 1508146846 |
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Provider Enumeration Date | 08/18/2011 |
Last Update Date | 11/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508146846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |