Organization
STELLIS HEALTH, PA
Active
Organization
STELLIS HEALTH, PA
Active
Other names
Buffalo Clinic, Monticello Clinic, Albertville/St.Michael Clinic,
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON S HALVORSON MD (PRESIDENT)
(763) 295-2921
Entity
Organization
Contact information
Practice address
1700 HIGHWAY 25 N, BUFFALO, MN 55313-1930
(763) 682-1313
(763) 684-3790
Mailing address
1700 HIGHWAY 25 N, BUFFALO, MN 55313-1930
(763) 682-1313
(763) 684-3790
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222310400
—
MN
Enumeration date
06/07/2006
Last updated
08/12/2016
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