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Organization
GATEWAY FAMILY HEALTH CLINIC, LTD.
Active
Organization
GATEWAY FAMILY HEALTH CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC NIELSEN (ADMINISTRATOR)
(218) 485-4491
Entity
Organization
Contact information
Practice address
4570 CTY HWY 61, MOOSE LAKE, MN 55767-9401
(218) 485-4491
(218) 485-4724
Mailing address
4570 CTY HWY 61, MOOSE LAKE, MN 55767-9401
(218) 485-4491
(218) 485-4724
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/23/2005
Last updated
05/13/2025
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