Dakota Clinic, Ltd.
Family Medicine in Park Rapids, MN. Organization (NPI-2).
NPI number1124079488
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124079488
- Entity type
- Organization (NPI-2)
- Legal business name
- Dakota Clinic, Ltd.
- Organization subpart
- No
- Enumeration date
- May 12, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Dakota Clinic, Ltd. - Park Rapids (Doing Business As)
Practice location
705 Pleasant Ave SPark Rapids, MN 56470-1440
Phone 218-732-2800 · Fax 218-732-2857
Mailing address
Po Box 6001Fargo, ND 58108-6001
Phone 701-364-3300 · Fax 701-364-8906
Authorized official
Larry G Solberg
Administrator-Authorized Official
7013643405
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