Mille Lacs Band of Ojibwe Indians

NPI #1902941727 in Onamia, Minnesota

Provider Information

NPI Number
1902941727
Entity Type
Organization
Organization Name
Mille Lacs Band of Ojibwe Indians
Subpart
Yes (part of a larger organization)
Parent Organization
MILLE LACS BAND OF OJIBWE INDIANS
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 20, 2007
Last Updated
Oct 14, 2021

Practice Location

Address
18562 MINOBIMAADIZI LOOP
City
Onamia
ZIP Code
56359
Phone
(320) 532-4163

Authorized Official

Name
NICOLE ANDERSON
Title
COMMISSIONER OF HEALTH & HUMAN SERV
Phone
(320) 532-4163

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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