| Mille Lacs Band Of Ojibwe Indians | |
|
18562 Minobimaadizi Loop Onamia MN 56359 | |
| (320) 532-4163 | |
| (320) 532-7839 |
| Full Name | Mille Lacs Band Of Ojibwe Indians |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18562 Minobimaadizi Loop, Onamia, Minnesota |
| Authorized Official Name and Position | Nicole Anderson (COMMISSIONER OF HEALTH & HUMAN SERV) |
| Authorized Official Contact | 3205324163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mille Lacs Band Of Ojibwe Indians 18562 Minobimaadizi Loop Onamia MN 56359-3001 Ph: (320) 532-4163 | Mille Lacs Band Of Ojibwe Indians 18562 Minobimaadizi Loop Onamia MN 56359 Ph: (320) 532-4163 |
| NPI Number | 1902941727 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902941727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12310 (Minnesota) | Primary |
Mille Lacs Band Of Ojibwe Indians Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18562 Minobimaadizi Loop, Onamia, MN 56359 Phone: 320-532-4163 |