Countryside Medical Clinic P.l.l.c
NPI #1730072075 in Montevideo, Minnesota
Provider Information
- NPI Number
- 1730072075
- Entity Type
- Organization
- Organization Name
- Countryside Medical Clinic P.l.l.c
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 3, 2025
- Last Updated
- Oct 10, 2025
Practice Location
- Address
- 416 N 1ST ST STE 2
- City
- Montevideo
- State
- Minnesota
- ZIP Code
- 56265-1408
- Phone
- (320) 226-5416
Authorized Official
- Name
- WYATT C. HAUGEN, CWCA-BC, CSWS-BC
- Title
- CLINIC OWNER
- Phone
- (320) 226-5416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Infusion Therapy — Infusion Therapy |
| Clinic/Center |
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