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Ponemah Clinic
Health Service Clinic/Center in Red Lake, Minnesota
NPI 1760680300

Ponemah Clinic is a Health Service Clinic/Center based in Red Lake, MN and is specialized in Health Service. Ponemah Clinic practices in Red Lake, MN. The NPI Number for Ponemah Clinic is 1760680300 and holds a License No. (Minnesota).

The current practice location address for Ponemah Clinic is Hwy 1, Red Lake, MN and can be reached out via phone at 218-679-3912 and via fax at 218-679-0181.

Location: Hwy 1, Red Lake, MN, 56671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760680300
Provider Name
Ponemah Clinic
Credential
Provider Entity Type
Organization
Address
Hwy 1, Red Lake, MN, 56671
Phone Number
218-679-3912
Fax Number
218-679-0181
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hwy 1
City
Red Lake
State
Minnesota
Zip
56671
Phone Number
218-679-3912
Fax Number
218-679-0181
person
Provider Business Mailing Address Details
Address
Hwy 1
City
Red Lake
State
Minnesota
Zip
56671
Phone Number
218-679-3912
Fax Number
218-679-0181
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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