Organization
SOUTHERN CITIES COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KAISER (REIMBURSEMENT SPECIALIST)
(651) 431-3710
Entity
Organization
Contact information
Practice address
400 4TH ST NW, FARIBAULT, MN 55021-5031
(507) 384-6830
Mailing address
PO BOX 64979, SAINT PAUL, MN 55164-0979
(651) 431-5884
(651) 431-7505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
09/04/2019
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