| Centracare Health - Sauk Centre Clinic | |
|
425 Elm St N Sauk Centre MN 56378-1010 | |
| (320) 352-2221 | |
| (320) 352-5150 |
| Full Name | Centracare Health - Sauk Centre Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 Elm St N, Sauk Centre, Minnesota |
| Authorized Official Name and Position | Michael A. Blair (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare Health - Sauk Centre Clinic 1200 6th Ave N Saint Cloud MN 56303-2735 Ph: (320) 352-2221 | Centracare Health - Sauk Centre Clinic 425 Elm St N Sauk Centre MN 56378-1010 Ph: (320) 352-2221 |
| NPI Number | 1578813762 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 4981857216 |
|---|---|
| Medicare Enrollment ID | O20130116000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578813762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | John E Mertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346217874 PECOS PAC ID: 2769396373 Enrollment ID: I20031118000430 |
| Provider Name | Randall J Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821005638 PECOS PAC ID: 8921995259 Enrollment ID: I20040302000604 |
| Provider Name | Patrick J Heller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679554745 PECOS PAC ID: 1456249804 Enrollment ID: I20040308000549 |
| Provider Name | Daron W Gersch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053320739 PECOS PAC ID: 9133017593 Enrollment ID: I20040308000577 |
| Provider Name | Christopher J Wenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225006232 PECOS PAC ID: 9830181551 Enrollment ID: I20040401001279 |
| Provider Name | Lawrence G Strate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124052782 PECOS PAC ID: 1153316302 Enrollment ID: I20040416001139 |
| Provider Name | Todd M Severnak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790775393 PECOS PAC ID: 2567452410 Enrollment ID: I20040513001105 |
| Provider Name | Steven J Fuglestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083694897 PECOS PAC ID: 7214908011 Enrollment ID: I20040804001341 |
| Provider Name | Julie A Klasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255312955 PECOS PAC ID: 2163499849 Enrollment ID: I20040913000763 |
| Provider Name | Christopher D Leville |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699776310 PECOS PAC ID: 0749221398 Enrollment ID: I20050513000550 |
| Provider Name | Paul E Vangorp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639160898 PECOS PAC ID: 8729020375 Enrollment ID: I20050524001342 |
| Provider Name | Maria D Mallory |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689664344 PECOS PAC ID: 8628008109 Enrollment ID: I20050815000536 |
| Provider Name | Mark William Bonneville |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336129626 PECOS PAC ID: 7315967585 Enrollment ID: I20051202000162 |
| Provider Name | Mohammed I Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770557225 PECOS PAC ID: 6507871928 Enrollment ID: I20060207000251 |
| Provider Name | Kurt A Martinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245281302 PECOS PAC ID: 8820066889 Enrollment ID: I20060605000148 |
| Provider Name | John M Houle |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073531885 PECOS PAC ID: 8426052507 Enrollment ID: I20060901000076 |
| Provider Name | Theodore W Ruzanic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932273943 PECOS PAC ID: 6002816113 Enrollment ID: I20070112000338 |
| Provider Name | Joseph D Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043292253 PECOS PAC ID: 7517957988 Enrollment ID: I20070830000695 |
| Provider Name | Charles Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376594457 PECOS PAC ID: 6901994979 Enrollment ID: I20071109000123 |
| Provider Name | Joel E Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922299197 PECOS PAC ID: 8628130366 Enrollment ID: I20081215000450 |
| Provider Name | Michael L Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699744789 PECOS PAC ID: 0941113666 Enrollment ID: I20090403000494 |
| Provider Name | James R Sayovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427094606 PECOS PAC ID: 5395898720 Enrollment ID: I20090803000679 |
| Provider Name | Benedict R Haeg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023053659 PECOS PAC ID: 7810040243 Enrollment ID: I20090803000711 |
| Provider Name | Ulrika Margaret Wigert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427084557 PECOS PAC ID: 2264585546 Enrollment ID: I20090804000471 |
| Provider Name | Nathan R Brever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346416880 PECOS PAC ID: 1658426317 Enrollment ID: I20090901000418 |
| Provider Name | Libby M Brever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649447715 PECOS PAC ID: 4183779481 Enrollment ID: I20090910000513 |
| Provider Name | Nathaniel Reuter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457479446 PECOS PAC ID: 8921199373 Enrollment ID: I20090924000337 |
| Provider Name | Dante Carl Beretta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770564833 PECOS PAC ID: 3779624804 Enrollment ID: I20100111000636 |
| Provider Name | Deborah P Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467443069 PECOS PAC ID: 4587706312 Enrollment ID: I20100116000223 |
| Provider Name | Rene Eldidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342032 PECOS PAC ID: 4082756150 Enrollment ID: I20100127000929 |
| Provider Name | Christian P Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497745152 PECOS PAC ID: 1052455318 Enrollment ID: I20100224000643 |
| Provider Name | Darin D Willardsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230034 PECOS PAC ID: 5395880462 Enrollment ID: I20100302000141 |
| Provider Name | Paul Joseph Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770573420 PECOS PAC ID: 4284779174 Enrollment ID: I20100303000430 |
| Provider Name | Shih-an Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20100830001137 |
| Provider Name | Richard A Wehseler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609842335 PECOS PAC ID: 3476745274 Enrollment ID: I20101012001040 |
| Provider Name | Jeremy M Skramsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386837318 PECOS PAC ID: 7113110826 Enrollment ID: I20101026000337 |
| Provider Name | Dylan G Folkestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868901 PECOS PAC ID: 0143419408 Enrollment ID: I20110118001125 |
| Provider Name | Evelyn J Erickson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568480366 PECOS PAC ID: 3476589227 Enrollment ID: I20110131000670 |
| Provider Name | Angela R Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053501866 PECOS PAC ID: 5193817369 Enrollment ID: I20110816000564 |
| Provider Name | Henry P Yang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003863366 PECOS PAC ID: 4486541083 Enrollment ID: I20111006000780 |
| Provider Name | Kayla Mae Carlson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073880464 PECOS PAC ID: 4183881766 Enrollment ID: I20120209000400 |
| Provider Name | Stephanie J Mcgreevy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568743524 PECOS PAC ID: 9537326012 Enrollment ID: I20120210000790 |
| Provider Name | Lindsey R Chmielewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326333824 PECOS PAC ID: 0143478867 Enrollment ID: I20120920000688 |
| Provider Name | Amy F Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619231834 PECOS PAC ID: 1153572219 Enrollment ID: I20121119000460 |
| Provider Name | Ryan R Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427374123 PECOS PAC ID: 7719150242 Enrollment ID: I20130722000201 |
| Provider Name | Jayme L Vanbeek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518246826 PECOS PAC ID: 2062653751 Enrollment ID: I20130723000214 |
| Provider Name | Andrea M Lundeen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730344664 PECOS PAC ID: 8426290826 Enrollment ID: I20130814000976 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20130926000149 |
| Provider Name | Michael J Beste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700220712 PECOS PAC ID: 2668699109 Enrollment ID: I20140807000616 |
| Provider Name | Srikanth R Dakoji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932436 PECOS PAC ID: 7719209766 Enrollment ID: I20141203000765 |
| Provider Name | Kruti J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043574262 PECOS PAC ID: 7012232218 Enrollment ID: I20150210002426 |
| Provider Name | Katie L Hegdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649676487 PECOS PAC ID: 1355660002 Enrollment ID: I20150501001057 |
| Provider Name | Timothy M Ehle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659575702 PECOS PAC ID: 2466510573 Enrollment ID: I20150508002165 |
| Provider Name | Eric David Hyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20150825004478 |
| Provider Name | Rebecca K Stepan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336409507 PECOS PAC ID: 7810206984 Enrollment ID: I20151013000818 |
| Provider Name | Ashley A Rood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623337 PECOS PAC ID: 8628387065 Enrollment ID: I20151026000595 |
| Provider Name | Penny A Leen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073958856 PECOS PAC ID: 0345470738 Enrollment ID: I20160128001570 |
| Provider Name | Kelsey M Mcanally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548608235 PECOS PAC ID: 0244552305 Enrollment ID: I20161103001574 |
| Provider Name | Angie L Paschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518410612 PECOS PAC ID: 2466732789 Enrollment ID: I20161202001222 |
| Provider Name | John P Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336681741 PECOS PAC ID: 0547541963 Enrollment ID: I20161227000081 |
| Provider Name | Nicole L Frie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881138709 PECOS PAC ID: 8729360144 Enrollment ID: I20170119002623 |
| Provider Name | Jamie L Hammerbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891175949 PECOS PAC ID: 5698073500 Enrollment ID: I20170123002918 |
| Provider Name | Roxanne M Boser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134558109 PECOS PAC ID: 8820373178 Enrollment ID: I20170328002545 |
| Provider Name | Alicia Grace Floyd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033408505 PECOS PAC ID: 2567680713 Enrollment ID: I20170814001669 |
| Provider Name | Carly A Jungles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063939734 PECOS PAC ID: 9436415650 Enrollment ID: I20171103001812 |
| Provider Name | Daniel B Pickett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174866644 PECOS PAC ID: 9133475478 Enrollment ID: I20180628003150 |
| Provider Name | Damon M Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518285816 PECOS PAC ID: 3375771744 Enrollment ID: I20180716000172 |
| Provider Name | Lee M Haggenjos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003207416 PECOS PAC ID: 6709144892 Enrollment ID: I20180801002195 |
| Provider Name | Paul K Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043448095 PECOS PAC ID: 4284888462 Enrollment ID: I20180807002336 |
| Provider Name | Clarence O Ojo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053650630 PECOS PAC ID: 3072747021 Enrollment ID: I20180810003100 |
| Provider Name | Jennifer R Tomford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346727211 PECOS PAC ID: 6103176417 Enrollment ID: I20180907001267 |
| Provider Name | Elaine M Thelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720565617 PECOS PAC ID: 4880947928 Enrollment ID: I20181019000673 |
| Provider Name | Paul C Peterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902805518 PECOS PAC ID: 2668453564 Enrollment ID: I20190709002811 |
| Provider Name | Nicole J Lyons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013336106 PECOS PAC ID: 0143525303 Enrollment ID: I20190731001185 |
| Provider Name | Olivia T Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659538163 PECOS PAC ID: 0143442962 Enrollment ID: I20200226000470 |
| Provider Name | Wade E Paulson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447645916 PECOS PAC ID: 1355656984 Enrollment ID: I20200526000075 |
| Provider Name | Sade M Finn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578099545 PECOS PAC ID: 5799057899 Enrollment ID: I20200609001866 |
| Provider Name | Shannon M Link |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134610744 PECOS PAC ID: 0446673958 Enrollment ID: I20200630002763 |
| Provider Name | Samuel T Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922428077 PECOS PAC ID: 1254653595 Enrollment ID: I20210222000809 |
| Provider Name | Eric D Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869766 PECOS PAC ID: 9830446517 Enrollment ID: I20210720000331 |
| Provider Name | Robert H Krieger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912367103 PECOS PAC ID: 0143625749 Enrollment ID: I20210819002716 |
| Provider Name | Elizabeth A Tacl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093194706 PECOS PAC ID: 7618289554 Enrollment ID: I20210923003000 |
| Provider Name | Sarah J K Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457858433 PECOS PAC ID: 7214362714 Enrollment ID: I20211130001507 |
| Provider Name | Alicia C Bame-anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609528413 PECOS PAC ID: 5799172904 Enrollment ID: I20220418001397 |
| Provider Name | Braniesney Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922674522 PECOS PAC ID: 9436554052 Enrollment ID: I20220428000898 |
| Provider Name | Bashir S Moallin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144840463 PECOS PAC ID: 6608299821 Enrollment ID: I20220510002368 |
| Provider Name | Seth D Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679193957 PECOS PAC ID: 4486076973 Enrollment ID: I20220718001182 |
| Provider Name | Abdikafar M Yusuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366935363 PECOS PAC ID: 4385067503 Enrollment ID: I20220818002946 |
| Provider Name | Wesley J Halseth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891227971 PECOS PAC ID: 3678844867 Enrollment ID: I20220921002720 |
| Provider Name | Rebecca S Taffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773292 PECOS PAC ID: 5193191450 Enrollment ID: I20221012001536 |
| Provider Name | Nasim Parsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275943631 PECOS PAC ID: 9436573656 Enrollment ID: I20221021000727 |
| Provider Name | Nicholas Allen Cook-rostie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386225720 PECOS PAC ID: 5193128825 Enrollment ID: I20221213001294 |
| Provider Name | Emily Felzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20221222002211 |
| Provider Name | Kayla Beckmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013637990 PECOS PAC ID: 4587035316 Enrollment ID: I20230113001778 |
| Provider Name | Leif Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235711052 PECOS PAC ID: 6901209659 Enrollment ID: I20230406001057 |
| Provider Name | Jodi I Marohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548993546 PECOS PAC ID: 1355706631 Enrollment ID: I20230421000639 |
| Provider Name | Sydni Imel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689034027 PECOS PAC ID: 3870977267 Enrollment ID: I20230707001671 |
| Provider Name | Austin Grant Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699451740 PECOS PAC ID: 0446610653 Enrollment ID: I20230720000212 |
| Provider Name | James Drinane |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508271099 PECOS PAC ID: 3870718836 Enrollment ID: I20230901003611 |
| Provider Name | Subbumeenakshi Alagappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124688759 PECOS PAC ID: 0042542805 Enrollment ID: I20231002003640 |
| Provider Name | Nataliia Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063862746 PECOS PAC ID: 0547508087 Enrollment ID: I20231009003283 |
| Provider Name | Toni Nicole Drum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831963230 PECOS PAC ID: 3870941313 Enrollment ID: I20231122001228 |
| Provider Name | Julia D Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770356230 PECOS PAC ID: 2163870619 Enrollment ID: I20231122001923 |
| Provider Name | Jeffrey T Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245641760 PECOS PAC ID: 9931401478 Enrollment ID: I20240102001117 |
| Provider Name | Jason Hogge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952044927 PECOS PAC ID: 5496134041 Enrollment ID: I20240103000095 |
| Provider Name | Monica Marie Guggenberger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003187899 PECOS PAC ID: 2062863723 Enrollment ID: I20240105004047 |
| Provider Name | Barbara Skodje-mack |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609933498 PECOS PAC ID: 3678916814 Enrollment ID: I20240205003400 |
| Provider Name | Rishi Seth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790832 PECOS PAC ID: 0840411658 Enrollment ID: I20240216002329 |
| Provider Name | Kristina Chien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518602820 PECOS PAC ID: 8325428915 Enrollment ID: I20240319000943 |
| Provider Name | Nathan Bryant Malek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518735067 PECOS PAC ID: 5991146789 Enrollment ID: I20240510001083 |
Lakeview Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Elm St N, Sauk Centre, MN 56378 Phone: 320-352-6591 | |
Advanced Chiropractic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 857 Main St S, Sauk Centre, MN 56378 Phone: 320-352-5227 |