| Fergus Falls Medical Group, P.a. | |
|
410 Lake Ave S Battle Lake MN 56515 | |
| (218) 864-5283 | |
| (218) 864-8452 |
| Full Name | Fergus Falls Medical Group, P.a. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 410 Lake Ave S, Battle Lake, Minnesota |
| Authorized Official Name and Position | Jim Wilkus (CEO) |
| Authorized Official Contact | 2187392221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fergus Falls Medical Group, P.a. 615 S Mill St Fergus Falls MN 56537-2756 Ph: (218) 739-2221 | Fergus Falls Medical Group, P.a. 410 Lake Ave S Battle Lake MN 56515 Ph: (218) 864-5283 |
| NPI Number | 1376587972 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376587972 | NPI | - | NPPES |
| 00-01587 | Other | MN | BLC MEDICA # |
| 13380 | Medicaid | ND | |
| 115098 | Other | MN | BLC UCARE # |
| 62345FE | Other | MN | BLC BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 44 (Minnesota) | Primary |