| Dakota Clinic, Ltd. - Lake Park | |
|
2049 2nd St Lake Park MN 56554-4000 | |
| (218) 238-5901 | |
| (218) 844-2444 |
| Full Name | Dakota Clinic, Ltd. - Lake Park |
|---|---|
| Speciality | Family Medicine |
| Location | 2049 2nd St, Lake Park, Minnesota |
| Authorized Official Name and Position | Larry G Solberg (ADMINISTRATOR-AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7013643405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Clinic, Ltd. - Lake Park Po Box 727 Detroit Lakes MN 56502-0727 Ph: (218) 844-2300 | Dakota Clinic, Ltd. - Lake Park 2049 2nd St Lake Park MN 56554-4000 Ph: (218) 238-5901 |
| NPI Number | 1043261621 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043261621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Essentia Health St. Mary's - Lake Park Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 1st St, Lake Park, MN 56554 Phone: 218-238-5901 |