White Earth Band of Chippewa

NPI #1396848560 in Ogema, Minnesota

Provider Information

NPI Number
1396848560
Entity Type
Organization
Organization Name
White Earth Band of Chippewa
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Sep 6, 2006
Last Updated
Jan 7, 2008

Practice Location

Address
25519 STATE HIGHWAY 224
City
Ogema
ZIP Code
56569-9506
Phone
(218) 983-4300

Authorized Official

Name
MRS. KIM J HOGLUND
Title
BILLING MANAGER
Phone
(218) 936-5586

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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