Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CUSTOM CLINIC, P.A.
Active OrganizationCUSTOM CLINIC, P.A. is a Family Medicine organization located in FAIRMONT, Minnesota. NPI 1699859124 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FAIRMONT, MN
Registration Details
- NPI Number
- 1699859124
- Provider Type
- Organization
- NPI Issued
- Oct 24, 2006 (19.803847822799 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
322 S STATE ST5 LAKE CENTER DRIVEFAIRMONT, MN, 560314139Browse MN providers · Browse ZIP 56031
- Phone
- 5072362880
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Organizations in FAIRMONT, MN
| Name | NPI |
|---|---|
| DULCIMER MEDICAL CENTER PA | 1982779096 |
| PRIMARY SPECIALISTS | 1588900864 |
| PRIMARY CARE MANAGEMENT SERVICES, LLC | 1134641947 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.