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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