| Libertas Family Medicine Pc | |
|
210 1st St Se Little Falls MN 56345-3004 | |
| (320) 412-1310 | |
| (833) 428-6650 |
| Full Name | Libertas Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 1st St Se, Little Falls, Minnesota |
| Authorized Official Name and Position | Jennifer Wesenberg (CEO) |
| Authorized Official Contact | 5078379873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertas Family Medicine Pc 210 1st St Se Little Falls MN 56345-3004 Ph: () - | Libertas Family Medicine Pc 210 1st St Se Little Falls MN 56345-3004 Ph: (320) 412-1310 |
| NPI Number | 1235900705 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 05/01/2025 |
| Medicare PECOS PAC ID | 7810428877 |
|---|---|
| Medicare Enrollment ID | O20241001002421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235900705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Ann Wesenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497064059 PECOS PAC ID: 2365676251 Enrollment ID: I20131008001467 |
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