Organization
DAKOTA CLINIC LTD WAHPETON
Active
Parent organization
DAKOTA CLINIC,LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAKOTA CLINIC,LTD
Authorized official
LARRY G SOLBERG (CEO)
(701) 364-3300
Entity
Organization
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145516
MAMMOGRAPHY #
ND
Enumeration date
12/11/2006
Last updated
12/03/2007
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