| Dakota Clinic, Ltd. | |
|
117 N Main St Mahnomen MN 56557-4003 | |
| (218) 936-5616 | |
| (218) 936-5619 |
| Full Name | Dakota Clinic, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 117 N Main St, Mahnomen, 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. Po Box 727 Detroit Lakes MN 56502-0727 Ph: (218) 844-2300 | Dakota Clinic, Ltd. 117 N Main St Mahnomen MN 56557-4003 Ph: (218) 936-5616 |
| NPI Number | 1215988894 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215988894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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St. Mary's Regional Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 N Main St, Mahnomen, MN 56557 Phone: 218-936-5616 | |
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