| Essentia Health-detroit Lakes/hwy 10 Clinic | |
|
1361 Wenner Rd Detroit Lakes MN 56501-7918 | |
| (218) 846-9981 | |
| Not Available |
| Full Name | Essentia Health-detroit Lakes/hwy 10 Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1361 Wenner Rd, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Alan J Hurley (COO) |
| Authorized Official Contact | 7013647667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health-detroit Lakes/hwy 10 Clinic Po Box 1450 Nw7813 Minneapolis MN 55485-7813 Ph: (701) 364-4222 | Essentia Health-detroit Lakes/hwy 10 Clinic 1361 Wenner Rd Detroit Lakes MN 56501-7918 Ph: (218) 846-9981 |
| NPI Number | 1164978599 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164978599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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