Unknown Individual – Obstetrics & Gynecology Physician, NPI 1285610774

Unknown Individual is a healthcare provider. based in St cloud, Minnesota. specializing in Obstetrics & Gynecology Physician. They hold a License No. 25609 (MN). The NPI Number for Unknown Individual is 1285610774

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285610774
Phone
(320) 656-7024
Address
1200 6TH AVENUE NORTH
Deactivation Date
5 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    CENTRACARE CLINIC RIVER CAMPUS

    ST CLOUD, MN 563032735

    Phone: (320) 656-7024

    Fax: (320) 656-7026

    Type: Location

  • CENTRACARE CLINIC RIVER CAMPUS

    1200 6TH AVENUE NORTH

    ST CLOUD, MN 563032735

    Phone: (320) 656-7024

    Fax: (320) 656-7026

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56303)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1285610774.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect St Cloud, Minnesota as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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