| NPI | 1942932264 |
|---|---|
| Doing Business As | MILLE LACS HEALTH SYSTEM MILACA FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROYCE NELSON CEO 320-532-2580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |