Organization
DAKOTA CLINIC LTD
Active
Parent organization
DAKOTA CLINIC,LTD.
Other names
DAKOTA CLINIC LTD WALKER
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAKOTA CLINIC,LTD.
Authorized official
LARRY G SOLBERG (CEO)
(701) 364-3405
Entity
Organization
Contact information
Practice address
HIGHWAY 371, WALKER, MN 56484
(218) 547-3452
(218) 547-3937
Mailing address
705 PLEASANT AVE, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214486
MAMMOGRAPHY #
MN
Enumeration date
12/12/2006
Last updated
12/03/2007
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