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Organization
PERHAM HOSPITAL DISTRICT
Active
Organization
PERHAM HOSPITAL DISTRICT
Active
Other names
Perham Health Ottertail Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
105 OTTER DR, OTTERTAIL, MN 56571-7040
(218) 367-6111
(218) 367-6110
Mailing address
105 OTTER DR, PO BOX 278, OTTERTAIL, MN 56571-7040
(218) 367-6111
(218) 367-6110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44100700
—
MN
Enumeration date
08/05/2011
Last updated
08/05/2011
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