Individual
WESLEY LELAND LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19202
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400500
MEDICA HEALTH PLANS
—
01
—
110104488
RR MEDICARE
—
01
—
110906
UCARE
—
01
—
2114014
FIRST HEALTH PLAN
—
01
—
600879
ARAZ GROUP AMERICAS PPO
—
01
—
6D073L1
BLUE CROSS BLUE SHIELD
—
01
—
943773800
MEDICAL ASSISTANCE MA
—
01
—
986016
PREFERRED ONE
—
01
—
HP22729
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
11/28/2011
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