Fergus Falls Medical Group, P.a.

NPI #1619915543 in Wheaton, Minnesota

Provider Information

NPI Number: 1619915543
Entity Type: Organization
Organization Name: Fergus Falls Medical Group, P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: FERGUS FALLS MEDICAL GROUP, PA
Primary Specialty: Clinic/Center
Enumeration Date: Jun 3, 2006
Last Updated: Aug 17, 2018

Practice Location

Address: 403 12TH ST N
City: Wheaton
State: Minnesota
ZIP Code: 56296-1070
Phone: (320) 563-8295

Authorized Official

Name: JIM WILKUS
Title: CEO
Phone: (218) 739-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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