Organization
CROMWELL MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN F BODE MD (SOLE MEMBER)
(218) 485-8123
Entity
Organization
Contact information
Practice address
5568 CLARK AVE STE 1, CROMWELL, MN 55726-5004
(218) 644-3811
(218) 644-3813
Mailing address
PO BOX 116, CROMWELL, MN 55726-0116
(218) 485-8123
(218) 644-3811
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
03/20/2023
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