Organization
MILLE LACS HEALTH SYSTEM
Active
Parent organization
MILLE LACS HEALTH SYSTEM
Other names
Mille Lacs Health System Milaca Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLE LACS HEALTH SYSTEM
Authorized official
WILLIAM ROYCE NELSON (CEO)
(320) 532-2580
Entity
Organization
Contact information
Practice address
150 10TH ST NW, MILACA, MN 56353-1737
(320) 532-3154
Mailing address
PO BOX A, ONAMIA, MN 56359-0807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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