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>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1083810907

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
400 4TH AVE NW  SLEEPY EYE, MN 56085-1109 US
Tel: 507-794-3571  Fax: --

Contact information for business:
PO BOX 323 400 4TH AVE NW SLEEPY EYE, MN 56085-0323 US
Tel: 507-794-3571  Fax: --

Registration Information:
NPI: 1083810907
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine

Legacy codes, insurance codes and state license numbers:



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