| Centracare Clinic | |
|
3701 12th St N Ste 102 Saint Cloud MN 56303-2253 | |
| (320) 656-7195 | |
| Not Available |
| Full Name | Centracare Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3701 12th St N Ste 102, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Michael A Blair (SR VP & CFO) |
| Authorized Official Contact | 3202555665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centracare Clinic 1406 6th Ave N Saint Cloud MN 56303-1900 Ph: (320) 252-5131 | Centracare Clinic 3701 12th St N Ste 102 Saint Cloud MN 56303-2253 Ph: (320) 656-7195 |
| NPI Number | 1003339789 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003339789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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