| NPI | 1558600874 |
|---|---|
| Doing Business As | CENTRACARE - MONTICELLO SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. BLAIR Sr. Vice President And CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2019-10-10 |