| NPI | 1639513377 |
|---|---|
| Doing Business As | ESSENTIA HEALTH ST. MARY'S - DETROIT LAKES CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALAN HURLEY COO 701-364-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-03-01 |