Organization · Type 2 NPI
Centracare Clinic
Multi-Specialty Clinic/Center · Big Lake, MN
NPI number
1013104348
Active
Practice location
16830 198th Ave NW, Centracare Clinic - Big Lake
Big Lake, MN 55309-4860
Fax (763) 263-7338
Mailing address
1200 6th Ave N
St. Cloud, MN 56303-2736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
5 other providers at this address
- Fresenius Medical Care Centracare Dialysis, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Big Lake, MN NPI 1972278810
- Glenn W. Weidenbacher, MDPediatrics Physician Big Lake, MN NPI 1801873674
- Lola B. Sutherland, MDFamily Medicine Physician Big Lake, MN NPI 1417924994
- Luke A. Herdina, P.A.-CMedical Physician Assistant Big Lake, MN NPI 1720118912
- Nabeel Bishara Ailabouni, DOFamily Medicine Physician Big Lake, MN NPI 1043479876
About NPI 1013104348
Centracare Clinic's National Provider Identifier is 1013104348, issued on Oct 1, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Big Lake, MN. The record was last updated on Nov 19, 2020.