Ponemah Clinic
NPI #1760680300 in Red Lake, Minnesota
Provider Information
- NPI Number
- 1760680300
- Entity Type
- Organization
- Organization Name
- Ponemah Clinic
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Aug 14, 2008
Practice Location
Authorized Official
- Name
- KATHLEEN DUDLEY
- Title
- MEDICAL STAFF COOR.
- Phone
- (218) 679-3912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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