# DAKOTA CLINIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dakota Clinic, Ltd. - Medina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467406181
- **Authorized official:** LARRY G SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL)
- **Authorized official phone:** (701) 364-3405

## Contact information

- **Practice address:** 600 WATER STREET E, MEDINA, ND 58467
- **Practice address phone:** (701) 486-3550
- **Practice address fax:** (701) 486-3496
- **Mailing address:** 401 3RD ST SE, JAMESTOWN, ND 58401-4247
- **Mailing address phone:** (701) 253-5300
- **Mailing address fax:** (701) 253-5402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10894 | — | ND |