Organization
SELAH WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA KELLER (VP COMPLIANCE)
(320) 372-2323
Entity
Organization
Contact information
Practice address
263 W 4TH ST, RUSH CITY, MN 55069-4419
(320) 372-2323
Mailing address
501 MAIN ST, SANDSTONE, MN 55072-4410
(320) 372-2323
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
01/04/2026
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