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Integracare Ltd

Family Medicine in Sartell, MN. Organization (NPI-2).

NPI number1982919395
StatusActive
Last updated in NPPESJan 24, 2019

Details

NPI
1982919395
Entity type
Organization (NPI-2)
Legal business name
Integracare Ltd
Organization subpart
No
Enumeration date
Aug 10, 2010
Last updated
Jan 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1491MNYes
225100000X Physical Therapist1491MN
363L00000X Nurse Practitioner1491MN

Other names

  • Williams/Integracare Clinic (Doing Business As)

Practice location

100 South 2nd Street
Sartell, MN 56377

Phone 320-251-2600 · Fax 320-251-4763

Mailing address

100 South 2nd Street
Sartell, MN 56377

Phone 320-251-2600 · Fax 320-251-4763

Authorized official

Mark Randy Halstrom
Medical Director
3202512600

Is something wrong?

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