Organization
CUSTOM CLINIC, P.A.
Active
Other names
Smart Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C BACHENBERG M.D. (PRESIDENT)
(507) 236-2880
Entity
Organization
Contact information
Practice address
322 S STATE ST, 5 LAKE CENTER DRIVE, FAIRMONT, MN 56031-4139
(507) 236-2880
Mailing address
322 S STATE ST, 5 LAKE CENTER DRIVE, FAIRMONT, MN 56031-4139
(507) 236-2880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us