Organization
DAKOTA MEDICAL CLINIC, PA
Active
Organization
DAKOTA MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOLE M.D. (OWNER)
(952) 924-1053
Entity
Organization
Contact information
Practice address
3408 DAKOTA AVE S, ST LOUIS PARK, MN 55416-2312
(952) 924-1053
(952) 924-0254
Mailing address
3408 DAKOTA AVE S, ST LOUIS PARK, MN 55416-2312
(952) 924-1053
(952) 924-0254
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
29325
MN
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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