Unknown Individual – Family Medicine Physician, NPI 1811939713
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1526, 30th Street Northwest, Skyline Village Mobile Home Park, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 566014140
Phone: (218) 751-0887
Fax: (218) 759-4807
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Clinical Psychologist | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| Nurse Practitioner | IA | |
| Registered Dietitian Or Nutrition Professional | NE | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NE |
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