Organization
PHYSICIANS CLINIC OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK KNAPP (CLINIC ADMINISTRATOR)
(218) 333-5694
Entity
Organization
Contact information
Practice address
3801 BEMIDJI AVE N, STE 6, BEMIDJI, MN 56601-4364
(218) 333-5694
(218) 444-4728
Mailing address
3801 BEMIDJI AVE N, STE 6, BEMIDJI, MN 56601-4364
(218) 333-5694
(218) 444-4728
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640127900
—
MN
Enumeration date
04/27/2006
Last updated
08/12/2010
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