| NPI Details | |
|---|---|
| NPI | 1285820092 |
| Enumeration Date | 09/15/2007 |
| Last Updated | 09/15/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | MICHAEL DAVID MICHAEL |
| Position | OWNER |
| Phone | (507) 237-2911 |
| Fax | (507) 237-5744 |
| Practice Location | |
|---|---|
| 640 3RD ST GAYLORD MN, 55334-2297, US |
|
| Phone | (507) 237-2911 |
| Fax | (507) 237-5744 |
| Business Location | |
|---|---|
| 1570 TOWER BLVD NORTH MANKATO MN, 56003-2520, US |
|
| Phone | (507) 387-2037 |
| Fax | (507) 387-6011 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | Minnesota |
| License Number | 335464 |
| Remove 1285820092 NPI Number | |
According to our database, Oak Terrace Health Care Center Of Gaylord ,llc NPI is 1285820092, taxonomy code is 314000000X and license number is 335464, license state is located at Minnesota. Oak Terrace Health Care Center Of Gaylord ,llc physically located at 640 3rd St, Gaylord MN, 55334-2297. NPI Number 1033115704 has the healthcare provider type.
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1285820092 NPI number is provided on an as is basis without warranty of any kind. 1285820092 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Terrace Health Care Center Of Gaylord ,llc are for informational purposes only.
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