Organization
AFFILIATED COMMUNITY MEDICAL CENTERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L HOLMGREN MD (PRESIDENT)
(320) 231-5079
Entity
Organization
Contact information
Practice address
101 WILLMAR AVE SW, WILMLAR, MN 56201-3591
(320) 231-5079
(320) 231-5067
Mailing address
101 WILLMAR AVE SW, WILMLAR, MN 56201-3591
(320) 231-5079
(320) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP3732
MN
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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