Organization · Type 2 NPI
Custom Clinic, P.a.
Family Medicine Physician · Fairmont, MN
NPI number
1699859124
Active
Practice location
322 S State St, 5 Lake Center Drive
Fairmont, MN 56031-4139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | None listed |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5 other providers at this address
- Astrup Drug IncCommunity/Retail Pharmacy Fairmont, MN NPI 1184728271
- Amy M. Paradis, PharmDPharmacist Fairmont, MN NPI 1275880544
- Sara Louise Kolbe, PharmDPharmacist Fairmont, MN NPI 1831379619
- Susan Renee Rosenau, PHARM DPharmacist Fairmont, MN NPI 1346388428
- William J. Supalla, RPHPharmacist Fairmont, MN NPI 1760520373
Other family medicine physician providers in Fairmont
About NPI 1699859124
Custom Clinic, P.a.'s National Provider Identifier is 1699859124, issued on Oct 24, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fairmont, MN. The record was last updated on Aug 22, 2020.