| Central Lakes Medical Clinic Pa | |
|
318 East Main Street Crosby MN 56441-1691 | |
| (218) 546-8375 | |
| (218) 546-4400 |
| Full Name | Central Lakes Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 318 East Main Street, Crosby, Minnesota |
| Authorized Official Name and Position | John D Peterson (CEO) |
| Authorized Official Contact | 2185462501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Lakes Medical Clinic Pa 318 East Main Street Crosby MN 56441-1691 Ph: (218) 546-8375 | Central Lakes Medical Clinic Pa 318 East Main Street Crosby MN 56441-1691 Ph: (218) 546-8375 |
| NPI Number | 1881621761 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881621761 | NPI | - | NPPES |
| 088208900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1160 (Minnesota) | Primary |
Advanced Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 W Main St, Crosby, MN 56441 Phone: 218-546-7333 Fax: 218-546-7334 | |
Crosby Cardiovascular Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Crosby, MN 56441 Phone: 218-546-4334 |