institution
White Earth Band Of Chippewa
Podiatric Clinic/Center in White Earth, Minnesota
NPI 1851301378

White Earth Band Of Chippewa is a Podiatric Clinic/Center based in White Earth, MN and is specialized in Podiatric. White Earth Band Of Chippewa practices in White Earth, MN. The NPI Number for White Earth Band Of Chippewa is 1851301378 and holds a License No. (Minnesota).

The current practice location address for White Earth Band Of Chippewa is 26246 Crane Rd, White Earth, MN and can be reached out via phone at 218-983-3285 and via fax at 218-983-4299. You can also correspond with White Earth Band Of Chippewa through the mailing address at PO BOX 418, WHITE EARTH, MN - 56591-0418 (mailing address contact number: 218-983-3285).

Location: 26246 Crane Rd, White Earth, MN, 56591-0418
institution
Provider Profile Details
NPI Number
1851301378
Provider Name
White Earth Band Of Chippewa
Credential
Provider Entity Type
Organization
Address
26246 Crane Rd, White Earth, MN, 56591-0418
Phone Number
218-983-3285
Fax Number
218-983-4299
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
464M3WH 01 MN BCBS OF MN & CCS TPA
institution
Provider Business Practice Location Address Details
Address
26246 Crane Rd
City
State
Zip
56591-9998
Phone Number
218-983-3285
Fax Number
218-983-4299
person
Provider Business Mailing Address Details
Address
26246 Crane Rd
City
State
Zip
56591-9998
Phone Number
218-983-3285
Fax Number
218-983-4299
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
(Minnesota)
Definition
Definition to come...
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