Unknown Individual – Family Medicine Physician, NPI 1922068329
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 43
MR 10809
MINNEAPOLIS, MN 554400043
Phone: (612) 262-4813
Fax: (612) 262-4194
Type: Mailing
331 HIGHWAY 65 S
MORA, MN 550511899
Phone: (320) 679-1313
Fax: (320) 225-3141
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 55440)
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