Centracare Clinic

NPI #1700281953 in Sartell, Minnesota

Provider Information

NPI Number: 1700281953
Entity Type: Organization
Organization Name: Centracare Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRACARE CLINIC
Primary Specialty: Urology
Enumeration Date: Oct 30, 2014
Last Updated: Jun 23, 2025

Practice Location

Address: 2351 CONNECTICUT AVE S, SUITE 200
Address 2: CENTRACARE CLINIC- ADULT & PEDIATRIC UROLOGY
City: Sartell
State: Minnesota
ZIP Code: 56377-2477
Phone: (320) 259-1411

Authorized Official

Name: MICHAEL A BLAIR
Title: SR VP & CFO
Phone: (320) 255-5665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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