Organization
MARY'S CARE MEMORIAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN PHILLIPS (CREDENTIALER)
(712) 830-4728
Entity
Organization
Contact information
Practice address
210 W 1ST ST, WALL LAKE, IA 51466-7726
(712) 790-6033
Mailing address
PO BOX 181, WALL LAKE, IA 51466-0181
(712) 790-6033
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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