Organization
THE CLINIC LLC
Active
Organization
THE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN S COLBURN CNM (OWNER)
(218) 640-2647
Entity
Organization
Contact information
Practice address
210 JEFFERSON ST S, WADENA, MN 56482-1532
(218) 640-2647
(218) 461-4558
Mailing address
40734 COUNTY 1, BERTHA, MN 56437-1019
(218) 640-2647
(218) 461-4558
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
R1769683
MN
261QH0100X
Health Service Clinic/Center
Primary
R1769683
MN
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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