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122 2nd St. East Mcclusky ND 58463-0618 | |
(701) 363-2296 | |
(701) 363-2762 |
Full Name | |
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Speciality | Clinic/center |
Location | 122 2nd St. East, Mcclusky, North Dakota |
Authorized Official Name and Position | Sherry Fueller (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 7014482331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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220 5th Ave W Turtle Lake ND 58575-0280 Ph: (701) 448-2331 | 122 2nd St. East Mcclusky ND 58463-0618 Ph: (701) 363-2296 |
NPI Number | 1689842478 |
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Provider Enumeration Date | 02/14/2008 |
Last Update Date | 02/14/2008 |
Identifier | Type | State | Issuer |
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1689842478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |