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TYLER MEDICAL CLINIC DBA LAKE BENTON HEALTHCARE CENTER, AHC Facilities / Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Reviews Information on TYLER MEDICAL CLINIC DBA LAKE BENTON HEALTHCARE CENTER
NPI Number 1003869892
State Identifier(s) Minnesota Medicare ID #C02403
Minnesota Medicaid #9732144
Minnesota Other ID #5T014TY
Group Name TYLER MEDICAL CLINIC DBA LAKE BENTON HEALTHCARE CENTER
Doing business as TYLER MEDICAL CLINIC
Credentials - Lic #: (Minnesota)
Mailing Address Confidential
Business Address 109 BENTON ST W
LAKE BENTON, MN 56149-1316

Phone (507) 368-4654 Fax (507) 368-4546
Name DALE K KRUGER - (ADMINISTRATOR)
Primary Specialty AHC Facilities / Clinic/Center
Additional Specialties
Last Modified 07/09/2007
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