| Bassilleann P.a. | |
|
505 N. Walnut Street Clearwater MN 55320 | |
| (320) 558-6810 | |
| (320) 558-6006 |
| Full Name | Bassilleann P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 505 N. Walnut Street, Clearwater, Minnesota |
| Authorized Official Name and Position | Anne Marie Meyer (ADMINISTRATION) |
| Authorized Official Contact | 3205586810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bassilleann P.a. Po Box 187 Clearwater MN 55320-0187 Ph: (320) 558-6810 | Bassilleann P.a. 505 N. Walnut Street Clearwater MN 55320 Ph: (320) 558-6810 |
| NPI Number | 1962684696 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962684696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11975 (Minnesota) | Primary |