| North Valley Family Medicine Clinic Plc | |
|
929 Central Ave Nw East Grand Forks MN 56721-1917 | |
| (218) 773-6800 | |
| (218) 773-6861 |
| Full Name | North Valley Family Medicine Clinic Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 929 Central Ave Nw, East Grand Forks, Minnesota |
| Authorized Official Name and Position | Thomas Bradley Cariveau (PRESIDENT) |
| Authorized Official Contact | 2187736800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Valley Family Medicine Clinic Plc 1298 Burbank Grand Forks ND 58201-3712 Ph: (701) 772-7758 | North Valley Family Medicine Clinic Plc 929 Central Ave Nw East Grand Forks MN 56721-1917 Ph: (218) 773-6800 |
| NPI Number | 1790732394 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790732394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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