Custom Clinic, P.a.

NPI #1699859124 in Fairmont, Minnesota

Provider Information

NPI Number: 1699859124
Entity Type: Organization
Organization Name: Custom Clinic, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Oct 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 322 S STATE ST
Address 2: 5 LAKE CENTER DRIVE
City: Fairmont
State: Minnesota
ZIP Code: 56031-4139
Phone: (507) 236-2880

Authorized Official

Name: TIMOTHY C BACHENBERG, M.D.
Title: PRESIDENT
Phone: (507) 236-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

Similar Providers

Provider Name	Specialty	City
Denise Schavey, MD	Family Medicine	Fairmont	AI Deep Dive
Timothy Bachenberg, MD	Family Medicine	Fairmont	AI Deep Dive
Steven Edward Parnell, MD	Family Medicine	Fairmont	AI Deep Dive
Mark Wolverton, MD	Family Medicine	Fairmont	AI Deep Dive
Jeffery Green, M.D.	Family Medicine	Fairmont	AI Deep Dive

Want to research this healthcare provider further?