CROMWELL MEDICAL CLINIC PLLC is a primary care clinic center in Cromwell, MN. CROMWELL MEDICAL CLINIC PLLC NPI is 1821250549. The provider is registered as an organization entity type.
The provider's business location address is:
5568 CLARK AVE STE 1 CROMWELL, MN ZIP 55726-004 Phone: (218) 644-3811 Fax: (218) 644-3813
The provider's authorized official is Shawn F Bode . The authorized official title is Sole Member and has the following contact phone number (218) 485-8123.
The CLIA number assigned to this NPI record is 24D1085476 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/25/2008 and was last updated on 3/20/2023.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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