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Specialty details in registry · Saint Cloud, MN

Call (320) 251-2021 Directions

At a glance

2428 Imperial Dr, Saint Cloud, MN 56301-5009

NPPES record updated Feb 20, 2019. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

2428 Imperial Dr
Saint Cloud, MN 56301-5009

Professional details: NPI, taxonomy & registry record

NPI1245796721

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 253Z00000X
Enumeration date: Feb 20, 2019
Record updated: Feb 20, 2019

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2428 Imperial Dr
Saint Cloud, MN 56301-5009

Phone: (320) 251-2021

Mailing address

540 BROOK LN

SAINT CLOUD, MN 563019611

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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