Chisholm Medical Clinic

NPI #1871507632 in Chisholm, Minnesota

Provider Information

NPI Number: 1871507632
Entity Type: Organization
Organization Name: Chisholm Medical Clinic
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2006
Last Updated: Apr 18, 2008

Practice Location

Address: 400 1ST AVE SW
Address 2: SUITE 1
City: Chisholm
State: Minnesota
ZIP Code: 55719-2081
Phone: (218) 254-7476

Authorized Official

Name: DR. WILLIAM WILSON, MD
Title: OWNER
Phone: (218) 254-7476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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