| Caicedo Medical Group PC | |
|
17025 Commercial Park Rd Unit 1 Brainerd MN 56401-6254 | |
| (218) 831-7642 | |
| Not Available |
| Full Name | Caicedo Medical Group PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 17025 Commercial Park Rd Unit 1, Brainerd, Minnesota |
| Authorized Official Name and Position | Daniel Caicedo (PRESIDENT) |
| Authorized Official Contact | 2188317642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caicedo Medical Group PC 2108 N St Ste N Sacramento CA 95816-5712 Ph: (218) 831-7642 | Caicedo Medical Group PC 17025 Commercial Park Rd Unit 1 Brainerd MN 56401-6254 Ph: (218) 831-7642 |
| NPI Number | 1811807753 |
|---|---|
| Provider Enumeration Date | 09/11/2026 |
| Last Update Date | 09/11/2026 |
| Certification Date | 09/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811807753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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