Organization · NPI-2

Dakota Clinic, Ltd.

Family Medicine · Wahpeton, ND

NPI number1891746160
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1891746160
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 codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Dakota Clinic, Ltd. - Wahpeton (Doing Business As)

Practice location

275 11th St S
Wahpeton, ND 58075-4655

Phone 701-642-2000 · Fax 701-671-4106

Mailing address

275 11th St S
Wahpeton, ND 58075-4655

Phone 701-642-2000 · Fax 701-671-4106

Authorized official

Larry G Solberg
Administrator-Authorized Official
7013643405

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