Unknown Individual – Family Medicine Physician, NPI 1841250412
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
611, East Fairview Avenue, Olivia, Renville County, Minnesota, 56277, United States
OLIVIA, MN 562774213
Phone: (320) 523-1261
Fax: (230) 523-3430
Type: Mailing
410, Main Street, Buffalo Lake, Renville County, Minnesota, 55314, United States
RENVILLE, MN 562771370
Phone: (320) 329-8395
Fax: (320) 329-8397
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56277)
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