Organization
DAKOTA CLINIC LTD
Active
Organization
DAKOTA CLINIC LTD
Active
Parent organization
DAKOTA CLINIC,LTD.
Other names
DAKOTA CLINIC LTD THIEF RIVER FALLS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAKOTA CLINIC,LTD.
Authorized official
LARRY G SOLBERG (CEO)
(701) 364-3405
Entity
Organization
Contact information
Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 683-2595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219139
MAMMOGRAPHY #
MN
Enumeration date
12/08/2006
Last updated
12/03/2007
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