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Organization
INTEGRACARE LTD
Active
Organization
INTEGRACARE LTD
Active
Other names
Williams Integracare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER NEUBAUER (PRACTICE ADMINISTRATOR)
(320) 251-2600
Entity
Organization
Contact information
Practice address
2251 CONNECTICUT AVE S STE 2100, SARTELL, MN 56377-2486
(320) 251-2600
(320) 251-4763
Mailing address
2251 CONNECTICUT AVE S STE 2100, SARTELL, MN 56377-2486
(320) 251-2600
(320) 251-4763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079858400
—
MN
01
—
31T18IN
BCBS
MN
01
—
70633
HEALTH PARTNERS
MN
01
—
CH337
RAILROAD MEDICARE
MN
Enumeration date
12/19/2006
Last updated
03/16/2026
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