Organization
LAKE REGION BONE & JOINT SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA DREWS (CLAIMS MGR)
(218) 751-9746
Entity
Organization
Contact information
Practice address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 751-9746
(218) 759-0620
Mailing address
3807 GREENLEAF AVE NW, BEMIDJI, MN 56601-5817
(218) 751-9746
(218) 759-0620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1290
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360013100
—
MN
Enumeration date
06/21/2005
Last updated
09/23/2009
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