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1487690996
ST CLOUD MEDICAL GROUP PA
SAINT CLOUD, MN
NPI
1487690996
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Entity Type
Organization
Authorized Contact
CHRISTOPHER TACL
Medical Director
320-202-8949
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2006-06-22
Last Update Date
2011-10-06
Business Address
ST CLOUD MEDICAL GROUP PA
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303-4872
Phone number: 320-202-8949
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Mailing Address
ST CLOUD MEDICAL GROUP PA
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303-4872
Phone number: 320-202-8949
Copy
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