Individual
LINA DAUGELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
251 COUNTY ROAD 120, CENTRACARE CLINIC ST CLOUD MEDICAL GROUP NORTHWEST, ST CLOUD, MN 56303-4872
(320) 202-8949
(320) 257-1733
Mailing address
251 COUNTY ROAD 120, CENTRACARE CLINIC ST CLOUD MEDICAL GROUP NORTHWEST, ST CLOUD, MN 56303-4872
(320) 202-8949
(320) 257-1733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51890
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
10/29/2007
Last updated
03/11/2021
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