| Mankato Clinic Ltd | |
|
305 Main St E Mapleton MN 56065-2060 | |
| (507) 524-3835 | |
| Not Available |
| Full Name | Mankato Clinic Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 305 Main St E, Mapleton, Minnesota |
| Authorized Official Name and Position | Randy Farrow (CEO) |
| Authorized Official Contact | 8006576944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mankato Clinic Ltd 1230 E Main St Po Box 8674 Mankato MN 56001-5066 Ph: (800) 657-6944 | Mankato Clinic Ltd 305 Main St E Mapleton MN 56065-2060 Ph: (507) 524-3835 |
| NPI Number | 1104057926 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 07/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104057926 | NPI | - | NPPES |
| 396510400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |