White Earth Band Of Chippewa Indians
Specialty details in registry · White Earth, MN
At a glance
35233 Mission Lake Road, White Earth, MN 56591
NPPES record updated May 8, 2015. Public records can lag behind changes at a practice.
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Practice location
35233 Mission Lake RoadWhite Earth, MN 56591
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 101YP2500X
- Enumeration date
- May 8, 2015
- Record updated
- May 8, 2015
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
101YP2500X · Primary
License reported: 0504 MN
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
35233 Mission Lake RoadWhite Earth, MN 56591
- Phone
- (218) 983-4180
- Fax
- (218) 983-3767
Mailing address
PO BOX 418WHITE EARTH, MN 565910418
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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