Organization
CENTRACARE CLINIC
Active
Organization
CENTRACARE CLINIC
Active
Other names
CentraCare Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A BLAIR (SR VP & CFO)
(320) 255-5665
Entity
Organization
Contact information
Practice address
2000 23RD ST S, SARTELL, MN 56377-4765
(320) 229-5120
(320) 200-3235
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
11/19/2020
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