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Jack V, Lundbohm Inc
Clinic/Center in Roseau, Minnesota
NPI 1780822486

Jack V, Lundbohm Inc is a Clinic/Center based in Roseau, MN. Jack V, Lundbohm Inc practices in Roseau, MN. The NPI Number for Jack V, Lundbohm Inc is 1780822486 and holds a License No. 1792 (Minnesota).

The current practice location address for Jack V, Lundbohm Inc is 317 2Nd St Nw, Roseau, MN and can be reached out via phone at 218-463-2992 and via fax at 218-463-1229.

Location: 317 2Nd St Nw, Roseau, MN, 56751-1070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780822486
Provider Name
Jack V, Lundbohm Inc
Credential
Provider Entity Type
Organization
Address
317 2Nd St Nw, Roseau, MN, 56751-1070
Phone Number
218-463-2992
Fax Number
218-463-1229
Provider Enumeration Date
02/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
317 2Nd St Nw
City
Roseau
State
Minnesota
Zip
56751-1070
Phone Number
218-463-2992
Fax Number
218-463-1229
person
Provider Business Mailing Address Details
Address
317 2Nd St Nw
City
Roseau
State
Minnesota
Zip
56751-1070
Phone Number
218-463-2992
Fax Number
218-463-1229
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1792 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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