| NPI | 1659425114 |
|---|---|
| Doing Business As | CENTRACARE - PLAZA CLINIC (INTERNAL MEDICINE) |
| Doing Business As | CENTRACARE CLINIC INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BLAIR Sr VP & CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-11-19 |