Organization
PAIN CENTERS OF MINNESOTA-MANKATO, LLC
Active
Parent organization
MANKATO CLINIC, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MANKATO CLINIC, LTD
Authorized official
STEVE HATKIN (CHIEF FINANCIAL OFFICER)
(507) 389-8500
Entity
Organization
Contact information
Practice address
1400 E MADISON AVE, MANKATO, MN 56001-5473
(800) 657-6944
Mailing address
1400 E MADISON AVE, MANKATO, MN 56001-5473
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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