Mille Lacs Health System

NPI #1942932264 in Milaca, Minnesota

Provider Information

NPI Number: 1942932264
Entity Type: Organization
Organization Name: Mille Lacs Health System
Subpart: Yes (part of a larger organization)
Parent Organization: MILLE LACS HEALTH SYSTEM
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 150 10TH ST NW
City: Milaca
State: Minnesota
ZIP Code: 56353-1737
Phone: (320) 532-3154

Authorized Official

Name: WILLIAM ROYCE NELSON
Title: CEO
Phone: (320) 532-2580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Family Medicine	207Q00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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