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929 Central Ave Nw East Grand Forks MN 56721-1917 | |
(218) 773-6800 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 929 Central Ave Nw, East Grand Forks, Minnesota |
Authorized Official Name and Position | Martha Leclerc (VICE PRESIDENT) |
Authorized Official Contact | 7012346248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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929 Central Ave Nw East Grand Forks MN 56721-1917 Ph: (218) 773-6800 | 929 Central Ave Nw East Grand Forks MN 56721-1917 Ph: (218) 773-6800 |
NPI Number | 1649550989 |
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Provider Enumeration Date | 08/18/2011 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
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1649550989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Healthy Happy Whole, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 3rd St Nw, East Grand Forks, MN 56721 Phone: 989-720-4325 | |
Riverview Healthcare Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1428 Central Ave Ne, East Grand Forks, MN 56721 Phone: 866-773-1390 | |