Mandaree Community Clinic
NPI #1194106997 in Mandaree, North Dakota
Provider Information
- NPI Number
- 1194106997
- Entity Type
- Organization
- Organization Name
- Mandaree Community Clinic
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jun 17, 2015
- Last Updated
- Feb 15, 2016
Practice Location
- Address
- 404 RIDGE ROAD
- City
- Mandaree
- State
- North Dakota
- ZIP Code
- 58757
- Phone
- (701) 421-1357
Authorized Official
- Name
- DR. KURT BENJI KITAGAWA, DO
- Title
- MEDICAL DIRECTOR
- Phone
- (308) 660-9321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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