Organization · Type 2 NPI

Sanford Health of Northern Minnesota

Family Medicine Physician · Kelliher, MN

NPI number 1770849697 Active · reactivated Jun 24, 2022

Practice location

243 Clark Ave N
Kelliher, MN 56650-3015

Call (218) 647-8832 Map

Fax (218) 647-8127

Mailing address

345 4th St NW
Kelliher, MN 56650

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.

NPI record

NPI: 1770849697
Entity type: Organization (Type 2)
Issued: Apr 4, 2012
Last updated: Aug 4, 2022
Status: Active

Other names

<unavail>
Sanford Health Kelliher Clinic · doing business as
Sanford Health Kelliher Clinic · doing business as

Authorized official

Tony Lee Morrison
Vice President, Revenue Cycle
(605) 328-8380

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1770849697

Sanford Health of Northern Minnesota's National Provider Identifier is 1770849697, issued on Apr 4, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Kelliher, MN. The record was last updated on Aug 4, 2022.