Organization
ST. CROIX REGIONAL MEDICAL CENTER
Active
Organization
ST. CROIX REGIONAL MEDICAL CENTER
Active
Other names
LINDSTROM CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE YOUSO (CFO)
(715) 483-0535
Entity
Organization
Contact information
Practice address
12375 LINDSTROM LN, LINDSTROM, MN 55045-9551
(651) 400-2240
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
1041
WI
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
03/21/2013
Last updated
01/25/2023
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