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Starbuck Clinic PLLC

Clinic/Center in Starbuck, MN. Organization (NPI-2).

NPI number1720162787
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1720162787
Entity type
Organization (NPI-2)
Legal business name
Starbuck Clinic PLLC
Organization subpart
No
Enumeration date
Oct 25, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center–MNYes

Practice location

501 Poler St
Starbuck, MN 56381

Phone 320-239-3939 · Fax 320-239-2802

Mailing address

Po Box 460
Starbuck, MN 56381

Phone 320-239-3939 · Fax 320-239-2802

Authorized official

Stephani Blehr
Certified Professional Coder Biller
3202393939

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