| |
211 E 2nd St Winthrop MN 55396-2390 | |
(507) 647-8000 | |
(507) 647-8010 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 211 E 2nd St, Winthrop, Minnesota |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2925 Chicago Ave Mr 10202 Minneapolis MN 55407-1321 Ph: (612) 262-1166 | 211 E 2nd St Winthrop MN 55396-2390 Ph: (507) 647-8000 |
NPI Number | 1437344165 |
---|---|
Provider Enumeration Date | 09/06/2007 |
Last Update Date | 03/21/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437344165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |