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1527 Broadway St Alexandria MN 56308-2537 | |
| (320) 762-0399 | |
| (320) 762-6847 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1527 Broadway St, Alexandria, Minnesota |
| Authorized Official Name and Position | Tony Lee Morrison (VP, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | 1527 Broadway St Alexandria MN 56308-2537 Ph: (320) 762-0399 |
| NPI Number | 1548532468 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548532468 | NPI | - | NPPES |
| DS4138 | Other | MN | RR MEDICARE |
| 379186602 | Other | MN | FEDERAL WORKERS COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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