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733 Main St Ste A Edgerton MN 56128-3000 | |
(507) 449-1500 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 733 Main St, Edgerton, Minnesota |
Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | 733 Main St Ste A Edgerton MN 56128-3000 Ph: (507) 449-1500 |
NPI Number | 1073973483 |
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Provider Enumeration Date | 02/26/2016 |
Last Update Date | 01/23/2025 |
Identifier | Type | State | Issuer |
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1073973483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |