Organization
DAKOTA CLINIC, LTD.
Active
Other names
Dakota Clinic, Ltd. - Lisbon
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY G SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL)
(701) 364-3405
Entity
Organization
Contact information
Practice address
819 MAIN ST, LISBON, ND 58054-4244
(701) 683-4134
(701) 683-4094
Mailing address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10894
—
ND
Enumeration date
05/15/2006
Last updated
08/22/2020
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